Individual provider · Type 1 NPI
Kimberly Herndon, LMP, RC
Massage Therapist · Bellevue, WA
NPI number
1154452399
Active
Practice location
12727 Northup Way
Bellevue, WA 98005-1917
Mailing address
1616 Newport Ave NE
Renton, WA 98056-3231
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA00020993 (WA) |
Massage Therapist: 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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About NPI 1154452399
Kimberly Herndon, LMP, RC's National Provider Identifier is 1154452399, issued on Mar 8, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bellevue, WA. The record was last updated on Jul 8, 2007.