Individual provider · Type 1 NPI

Kimberly Ann Wilson, LMP

Massage Therapist · Kenmore, WA

NPI number 1659502219 Active

Practice location

6016 NE Bothell Way, Suite B
Kenmore, WA 98028-9403

Call (425) 486-2844 Map

Fax (425) 481-5818

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA00011088 (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 1659502219

Kimberly Ann Wilson, LMP's National Provider Identifier is 1659502219, issued on Jul 30, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Kenmore, WA. The record was last updated on Jul 30, 2009.