Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimo Cecil Collins, LMT

Individual provider Massage Therapist · NPI 1821755174

Kimo Cecil Collins, LMT is a Massage Therapist in Roseburg, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2021
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

727 SE Cass Ave Ste 308
Roseburg, OR 97470-4954
Phone: (541) 530-3016
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 28013 (OR)

Record details

NPI number1821755174
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedNovember 22, 2021
Last updated in NPPESNovember 18, 2024
Certification dateNovember 18, 2024
Mailing address130 Harvest Ln, Roseburg, OR 97471-9269

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