Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KIM EDWARD NISSEN, M.A
Active Sole ProprietorMR. KIM EDWARD NISSEN, M.A is a Massage Therapist healthcare provider located in LONG BEACH, California. NPI 1861618027 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · LONG BEACH, CA
Registration Details
- NPI Number
- 1861618027
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 17, 2007 (19.287118682786 yrs)
- Last Updated
- Mar 12, 2012
- Sole Proprietor
- Yes
Practice Information
- Address
-
440 REDONDO AVE STE 201LONG BEACH, CA, 908145145Browse CA providers · Browse ZIP 90814
- Phone
- 5622095064
- Fax
- 5623426496
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in LONG BEACH, CA
| Name | Credential | NPI |
|---|---|---|
| YVONNE SUZETTE BURDETTE | LMT | 1396909974 |
| JOHNEEN D HARDWICK | CMT | 1891112959 |
| JONATHAN WARE | — | 1588021810 |
| ZHI JUN LUO | — | 1609227040 |
| MELCHICEDEC PALACIOS | CMT, ACSW | 1477094027 |
| MICHAEL EROOL HOLT I | — | 1083179105 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.