Active NPIIndividual providerSole proprietor

Kimberly Ballou, REFLEXOLOGIST

Reflexologist in Putnam, Connecticut

NPI Number1053176685
Practice location
554 Liberty Hwy Ste 8, Putnam, CT 06260-2728
Fax
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Last updated
September 3, 2025

Kimberly Ballou is a Reflexologist based in Putnam, CT. Kimberly Ballou practices in Putnam, CT and has the professional credentials of REFLEXOLOGIST. The NPI Number for Kimberly Ballou is 1053176685 and holds a License No. 1029 (RI). The current practice location address for Kimberly Ballou is 554 Liberty Hwy Ste 8, Putnam, CT 06260-2728 and can be reached out via phone at 860-494-9760.

Provider Profile Details

NPI Number
1053176685
Provider Name
Kimberly Ballou
Credential
REFLEXOLOGIST
Provider Entity Type
Individual
Gender
Female
Address
554 Liberty Hwy Ste 8, Putnam, CT 06260-2728
Phone Number
860-494-9760
Primary Taxonomy
Reflexologist · 173C00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 13, 2024
Last Update Date
September 3, 2025
Certification Date
September 3, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
554 Liberty Hwy Ste 8
Putnam, CT 06260-2728
City
Putnam
Zip
06260-2728
Phone Number
860-494-9760
Putnam, CT 06260Get directions →

Provider Business Mailing Address Details

Address
554 Liberty Hwy Ste 8
Putnam, CT 06260-2728
City
Putnam
State
CT
Zip
06260-2728
Phone Number
860-494-9760

License Information

License Number
1029
License State
RI
Taxonomy
Reflexologist · 173C00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kimberly Ballou, REFLEXOLOGIST?

The NPI number of Kimberly Ballou, REFLEXOLOGIST is 1053176685. It was assigned on February 13, 2024 and is currently active in the NPPES registry.

What is the specialty of Kimberly Ballou, REFLEXOLOGIST?

Kimberly Ballou, REFLEXOLOGIST is registered under the primary taxonomy Reflexologist (code 173C00000X), licensed in RI under license number 1029.

Where does Kimberly Ballou, REFLEXOLOGIST practice?

The practice location is 554 Liberty Hwy Ste 8, Putnam, CT 06260-2728. The office can be reached at 860-494-9760 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053176685 directly on the NPPES registry website.

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