Russell Kimball LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

RUSSELL KIMBALL LLC

Doing business as

Aberdeen Massage

Practice address

701 N 4TH St Ste 1
Aberdeen, SD 57401-2727

Phone

(605) 377-5930

NPI assigned

Oct 31, 2022

Last updated

Oct 31, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Russell Ivan Kimball, LMTNPI 1497390942

Title

Owner

Phone

(605) 377-5930

Specialties & licenses 1

Addresses

Other names 1

• Aberdeen Massage Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Russell Ivan Kimball, LMT

  • Massage Therapist
  • Aberdeen, SD
  • NPI 1497390942
  NPD Authorized official
• Kiley Elizabeth Connor

  • Massage Therapist
  • Aberdeen, SD
  • NPI 1386370617
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1982311957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N 4TH ST STE 1",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574012727",
            "telephone_number": "605-377-5930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N 4TH ST STE 1",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574012727",
            "telephone_number": "605-377-5930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL KIMBALL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "KIMBALL",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "IVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-377-5930",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aberdeen Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Bailey A Roshau
• Ronald Douglas Rovang, M.D.
• Nancy Ann Rude, PA-C
• Bethany Lynn Russell, O,D.
• Stan R Ryman, DC
• Carla Ada Salzer
• Whitney S Sample
• Robert J Sanders, DDS

• Massage Therapist in Aberdeen, SD
• Providers in Aberdeen, SD by specialty
• Massage Therapist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.