Tae Hyun Kim L.MT, L.AC

NPI 1083840508 - Massage Therapist - 225700000X

NPI Details
NPI 1083840508
Gender Male
Enumeration Date 06/10/2009
Last Updated 06/10/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
131 W OLD COUNTRY RD
HICKSVILLE NY, 11801-4007, US
Phone (917) 224-2407
Fax
Business Location
131 W OLD COUNTRY RD
HICKSVILLE NY, 11801-4007, US
Phone (917) 224-2407
Fax
Toxanomy
Taxonomy Code 225700000X
License State New York
License Number 021637
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According to our database, Mr. Tae Hyun Kim L.MT, L.AC NPI is 1083840508, taxonomy code is 225700000X and license number is 021637, license state is located at New York. Tae Hyun Kim L.MT, L.AC physically located at 131 W Old Country Rd, Hicksville NY, 11801-4007. NPI Number Tae Hyun Kim L.MT, L.AC has the Individual type.

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1083840508 NPI number is provided on an as is basis without warranty of any kind. 1083840508 is maintained by the National Plan & Provider Enumeration System. The contents of Tae Hyun Kim L.MT, L.AC are for informational purposes only.