Provider Demographics
NPI:1164678207
Name:VOLPE, KIM C (LMT)
Entity Type:Individual
Prefix:MS
First Name:KIM
Middle Name:C
Last Name:VOLPE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1354 CREEKVIEW DR
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067-4956
Mailing Address - Country:US
Mailing Address - Phone:972-839-8227
Mailing Address - Fax:
Practice Address - Street 1:6021 MORRISS RD STE 103
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-3762
Practice Address - Country:US
Practice Address - Phone:972-839-8227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-08
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT021807225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist