SearchMassachusetts2255A2300X

Kimberly Wise, ATC

NPI 1700964129 · on the registry since 2006 · sole proprietor

Practice

Address
304 Dockser Hall
Boston, MA 02115
Phone
(617) 373-2664

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts