Kristin Taylor, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60188254 Issued in WA

Practice address

8507 S 5TH St Ste 104
Ridgefield, WA 98642-3422

Phone

(360) 798-3105

NPI assigned

Nov 16, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bodywork Devine LLC

  • Massage Therapist
  • Ridgefield, WA
  • NPI 1164900940
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1003117482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34400 NE TAYLOR VALLEY RD",
            "city": "LA CENTER",
            "state": "WA",
            "postal_code": "986293408",
            "telephone_number": "360-798-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8507 S 5TH ST STE 104",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986423422",
            "telephone_number": "360-798-3105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34400 NE Taylor Valley Rd",
            "address_purpose": "LOCATION",
            "city": "LA Center",
            "state": "WA",
            "postal_code": "986293408",
            "country_code": "US",
            "telephone_number": "360-798-3105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KRISTIN",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-16",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60188254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Ridgefield, WA
• Providers in Ridgefield, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.