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

Mr. Kim Edward Nissen, MA

Individual provider Massage Therapist · NPI 1861618027

Mr. Kim Edward Nissen, MA is a Massage Therapist in Long Beach, California. Practices as a sole proprietor. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

440 Redondo Ave Ste 201
Long Beach, CA 90814-5145
Phone: (562) 209-5064
Fax: (562) 342-6496
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X

Record details

NPI number1861618027
Entity typeIndividual (Type 1)
GenderMale
Credentials MA
Sole proprietorYes
NPI enumeratedApril 17, 2007
Last updated in NPPESMarch 12, 2012

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