MR. KIM EDWARD NISSEN M.A,
NPI 1861618027
Massage Therapist in Long Beach, CA

Active since April 17, 2007
440 REDONDO AVE STE 201, LONG BEACH, CA 90814(562) 209-5064(562) 342-6496 Get Directions Write a Review

NPPES record last updated: March 12, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kim Edward Nissen M.a, NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KIM EDWARD NISSEN M.A, (NPI 1861618027) is an individual massage therapist in Long Beach, California and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1861618027
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameMR. KIM EDWARD NISSENCredential: M.A,
Location Address440 REDONDO AVE STE 201Long Beach, CA 90814-5145
Mailing Address440 Redondo Ave Ste 201Long Beach, CA 90814-5145
Fax(562) 342-6496
Sole ProprietorYes
Enumeration DateApril 17, 2007
Last NPPES UpdateMarch 12, 2012
NPI 1861618027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
440 REDONDO AVE STE 201, Long Beach, CA 90814

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Practice
440 REDONDO AVE STE 201
LONG BEACH, CA 90814

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kim Nissen's NPI number?

The NPI number for Kim Nissen is 1861618027. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Where is Kim Nissen located?

Kim Nissen practices at 440 Redondo Ave Ste 201, Long Beach, CA 90814. The listed phone number is (562) 209-5064.

What is Kim Nissen's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Kim Nissen was last updated on March 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.