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

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA00020993 (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.