Active NPIIndividual provider

Kimberly Gagnon, LMT, MMP

Massage Therapist in Manchester, New Hampshire

NPI Number1275017303
Practice location
575 S Willow St, Manchester, NH 03103-5713
Fax
—
Last updated
September 25, 2018

Kimberly Gagnon is a Massage Therapist based in Manchester, NH. Kimberly Gagnon practices in Manchester, NH and has the professional credentials of LMT, MMP. The NPI Number for Kimberly Gagnon is 1275017303 and holds a License No. 3485M (NH). The current practice location address for Kimberly Gagnon is 575 S Willow St, Manchester, NH 03103-5713 and can be reached out via phone at 603-232-3233.

Provider Profile Details

NPI Number
1275017303
Provider Name
Kimberly Gagnon
Credential
LMT, MMP
Provider Entity Type
Individual
Gender
Female
Address
575 S Willow St, Manchester, NH 03103-5713
Phone Number
603-232-3233
Primary Taxonomy
Massage Therapist · 225700000X
Sole Proprietor
No
Other Names
Ms. Kimberly Gagnon, KIMBERLY GAGNON, MMP (Professional Name)
Provider Enumeration Date
September 25, 2018
Last Update Date
September 25, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
575 S Willow St
Manchester, NH 03103-5713
Zip
03103-5713
Phone Number
603-232-3233
Manchester, NH 03103Get directions →

Provider Business Mailing Address Details

Address
575 S Willow St
Manchester, NH 03103-5713
City
Manchester
State
NH
Zip
03103-5713
Phone Number
603-921-0087

License Information

License Number (1)
3485M
License State (1)
NH
Taxonomy (1)
Physical Medicine & Rehabilitation · 208100000X
License Number (2)
3485M
License State (2)
NH
Taxonomy (2)
Massage Therapist · 225700000X · 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 Gagnon, LMT, MMP?

The NPI number of Kimberly Gagnon, LMT, MMP is 1275017303. It was assigned on September 25, 2018 and is currently active in the NPPES registry.

What is the specialty of Kimberly Gagnon, LMT, MMP?

Kimberly Gagnon, LMT, MMP is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in NH under license number 3485M.

Where does Kimberly Gagnon, LMT, MMP practice?

The practice location is 575 S Willow St, Manchester, NH 03103-5713. The office can be reached at 603-232-3233 (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 1275017303 directly on the NPPES registry website.

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