KIMBERLY GAGNON (NPI# 1275017303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275017303 |
| Entity Type | Individual |
| Full Name | KIMBERLY GAGNON |
| Other Name | MS. KIMBERLY GAGNON |
| Credential | LMT, MMP |
| Practice Address |
575 S Willow St Manchester NH 03103-5713 |
| Practice Telephone | 6032323233 |
| Mailing Telephone | 6039210087 |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2018-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | 3485M | NH | Allopathic & Osteopathic Physicians |
| Y | 225700000X | Massage Therapist | 3485M | NH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831741388 | Kimberly A Gagnon | Social Worker | 5 Greenwood St, Hartford, CT 06106-2110 | 2019-07-15 |
| Street Address |
575 S WILLOW ST |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03103-5713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639232580 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 575 S Willow St, Manchester, NH 03103-5713 | 2006-12-19 |
| 1528611787 | Fleuresh Life Therapeutics LLC | Massage Therapist | 575 S Willow St, Manchester, NH 03103-5713 | 2019-07-17 |
| 1154755874 | Exhale Spa Therapy, LLC | Massage Therapist | 575 S Willow St, F2, Manchester, NH 03103-5713 | 2013-08-29 |
| 1942539879 | Pearle Vision Inc | Eyewear Supplier (Equipment, not the service) | 575 S Willow St, Manchester, NH 03103-5713 | 2009-12-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023583374 | Melissa K Bascom | Social Worker | C/o Care Coordination Department, 1 Elliot Way, Manchester, NH 03103 | 2018-10-12 |
| 1538650650 | Bluestone Healthcare Services L.L.C. | Physician Assistant | Bluestone Healthcare Services LLC 169 South River Rd, Bedford, NH 03103 | 2018-05-24 |
| 1538662424 | Minal Jamkhande | Pharmacist | 50 S Willow Street, Manchester, NH 03103 | 2018-03-16 |
| 1447776240 | Manchester Health Supplies | Durable Medical Equipment & Medical Supplies | 373 S Willow Street, #328, Manchester, NH 03103 | 2017-08-14 |
| 1184145898 | Susan E Herman | Physical Therapist | 3000 Goffs Falls Road Suite 101, Manchester, NH 03103 | 2017-07-03 |
| 1316476757 | Sara Rose Hanrahan | Occupational Therapist | 3000 Goffs Falls Road, Suite 101, Manchester, NH 03103 | 2017-06-08 |
| 1457802811 | Holly Ann Cekala | Counselor | 140 Central St, Manchester, NH 03103 | 2016-10-20 |
| 1114301249 | Families In Transition | Counselor | 282 Belmont St, Manchester, NH 03103 | 2015-07-18 |
| 1083092282 | Alexander Michael Jones | Family Medicine | 4 Elliot Way Ste 105, Manchester, NH 03103 | 2015-05-08 |
| 1518344100 | Janiris Ruth Matos | Dentist | 8 Vinton Street, Dental Clinic, Manchester, NH 03103 | 2015-05-03 |
| Find all providers in zip 03103 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918922 | Brian Eaker | Massage Therapist | 1250 Knollhaven Dr, Manchester, MO 63021-5419 | 2020-09-24 |
| 1487260881 | Amy Marie Dubenetsky | Massage Therapist | 642 Hilliard St Ste 1317, Manchester, CT 06042-2705 | 2020-09-21 |
| 1679195473 | Megan Ross-harris | Massage Therapist | 356 Manchester Square Shopping Center, Manchester, KY 40962-4096 | 2020-05-14 |
| 1790323228 | Karen Elizabeth Nord | Massage Therapist | 670 N Commercial St Ste 22, Manchester, NH 03101-1140 | 2019-12-16 |
| 1689228033 | Katherine Rose Brown | Massage Therapist | 709 Emerson St, Manchester, TN 37355-2007 | 2019-07-24 |
| 1952960502 | Amylynn M Walker | Massage Therapist | 539 Maple St, Manchester, NH 03104-4951 | 2019-06-07 |
| 1104329515 | Michael Kimball | Massage Therapist | 944 Elm St Ste 21, Manchester, NH 03101-2020 | 2018-03-12 |
| 1386098218 | Donna Briggs | Massage Therapist | 740 Pine St, Manchester, NH 03104-3108 | 2016-04-18 |
| 1649630740 | Amber Fraga | Massage Therapist | 908 Hanover St Ste 3, Manchester, NH 03104-5418 | 2016-03-02 |
| 1245698745 | Lisa Poole | Massage Therapist | 50 Pheasant Ln, Manchester, NH 03109-5927 | 2016-01-29 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 03103 |
Please comment or provide details below to improve the information on KIMBERLY GAGNON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.