Molly Deisroth-Kim, MS
Clinical Exercise Physiologist in Waltham, Massachusetts
1427323625- Practice location
- 40 2ND Ave, Suite 510, Waltham, MA 02451-1132
- Phone
- 781-487-6103
- Fax
- —
- Last updated
- March 20, 2012
Molly Deisroth-Kim is a Clinical Exercise Physiologist based in Waltham, MA. Molly Deisroth-Kim practices in Waltham, MA and has the professional credentials of MS. The NPI Number for Molly Deisroth-Kim is 1427323625 and holds a License No. 127683 (IN). The current practice location address for Molly Deisroth-Kim is 40 2ND Ave, Suite 510, Waltham, MA 02451-1132 and can be reached out via phone at 781-487-6103.
Provider Profile Details
- NPI Number
- 1427323625
- Provider Name
- Molly Deisroth-Kim
- Credential
- MS
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 40 2ND Ave, Suite 510, Waltham, MA 02451-1132
- Phone Number
- 781-487-6103
- Primary Taxonomy
- Clinical Exercise Physiologist · 224Y00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 20, 2012
- Last Update Date
- March 20, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 40 2ND Ave
Suite 510
Waltham, MA 02451-1132 - City
- Waltham
- State
- Massachusetts
- Zip
- 02451-1132
- Phone Number
- 781-487-6103
Provider Business Mailing Address Details
- Address
- 20 Green Way
Wayland, MA 01778-2626 - City
- Wayland
- State
- MA
- Zip
- 01778-2626
- Phone Number
- 508-358-4435
License Information
- License Number
- 127683
- License State
- IN
- Taxonomy
- Clinical Exercise Physiologist · 224Y00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Molly Deisroth-Kim, MS?
The NPI number of Molly Deisroth-Kim, MS is 1427323625. It was assigned on March 20, 2012 and is currently active in the NPPES registry.
What is the specialty of Molly Deisroth-Kim, MS?
Molly Deisroth-Kim, MS is registered under the primary taxonomy Clinical Exercise Physiologist (code 224Y00000X), licensed in IN under license number 127683.
Where does Molly Deisroth-Kim, MS practice?
The practice location is 40 2ND Ave, Suite 510, Waltham, MA 02451-1132. The office can be reached at 781-487-6103 (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 1427323625 directly on the NPPES registry website.