IndividualActive
Molly Deisroth-Kim, MS
NPI 1427323625 · Clinical Exercise Physiologist · Waltham, MA
Provider details
- NPI number
- 1427323625
- Entity type
- Individual
- Primary specialty
- Clinical Exercise PhysiologistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS
- Sex
- Female
- Sole proprietor
- No
- License
- 127683 (IN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
40 2nd Ave
Suite 510
Waltham, MA 02451-1132
Phone: (781) 487-6103
Approximate (ZIP-level) locationGet directions
Mailing address
20 Green Way
Wayland, MA 01778-2626
Registry dates
- Enumerated
- 2012-03-20
- Last updated
- 2012-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.