Individual provider · Type 1 NPI

Kim McDougall

Massage Therapist · Vancouver, WA

NPI number 1245516111 Active

Practice location

17030 SE 1st St Ste 102
Vancouver, WA 98684-8514

Mailing address

28334 NE 61st St
Camas, WA 98607-9776

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA00006799 (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 1245516111

Kim McDougall's National Provider Identifier is 1245516111, issued on Oct 24, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Vancouver, WA. The record was last updated on Oct 26, 2011.