Stephanie R Kimball in Lynnwood - Massage Therapist

Stephanie R Kimball - NPI 1770664963

Stephanie R Kimball is a Massage Therapist in Lynnwood, Washington. Stephanie R Kimball practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Stephanie R Kimball is 1770664963. The last update date is 2007-07-08.

Stephanie R Kimball's current location address is 6501 196th St Sw Ste C, Lynnwood, Washington. You can contact this provider via phone number 4257752288 and fax number 4257785476. The mailing address for Stephanie R Kimball is 6501 196th St Sw Ste C, Lynnwood, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephanie R Kimball
Address 6501 196th St Sw Ste C, Lynnwood, Washington
Phone Number 4257752288
Fax Number 4257785476
Sole Proprietor N
Credentials LMP

NPI Number Detail

NPI Number 1770664963
Provider Enumeration Date 2006-10-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 6501 196th St Sw Ste C
City Lynnwood
State Washington (WA)
Post Code 980365980
Phone Number 4257752288
Fax Number 4257785476

Provider's Primary Taxonomy Detail

Speciality Massage Therapist
Taxonomy 225700000X
Licence No MA00015401
Definition:
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.

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FAQs about Stephanie R Kimball

What is the unique identifier code issued to Stephanie R Kimball by the Centers for Medicare & Medicaid Services?

The Stephanie R Kimball has been assigned the NPI (National Provider Identifier) 1770664963. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Where is the Stephanie R Kimball located?

The Stephanie R Kimball is located at 6501 196Th St Sw Ste C, Lynnwood, WA 980365980.

What is the Stephanie R Kimball's specialty and taxonomy code?

The Stephanie R Kimball's specialty is Massage Therapist, and the corresponding taxonomy code is 225700000X.

On what date did the Stephanie R Kimball receive its 1770664963 assignment from the Centers for Medicare & Medicaid Services?

The Stephanie R Kimball was assigned its 1770664963 by the Centers for Medicare & Medicaid Services on 2006-10-17.

As of what date were the Stephanie R Kimball's details last updated?

The information pertaining to the Stephanie R Kimball, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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