Individual provider · Type 1 NPI

Stephanie R. Kimball, LMP

Massage Therapist · Lynnwood, WA

NPI number 1770664963 Active

Practice location

6501 196th St SW Ste C
Lynnwood, WA 98036-5980

Call (425) 775-2288 Map

Fax (425) 778-5476

Mailing address

1614 Oakes Ave
Everett, WA 98201-2052

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA00015401 (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 1770664963

Stephanie R. Kimball, LMP's National Provider Identifier is 1770664963, issued on Oct 17, 2006. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lynnwood, WA. The record was last updated on Jul 8, 2007.