Individual provider Active NPI

Kimberly Lynn Mowery-Reams, LMT

  • Massage Therapist
  • Puyallup, WA
National Provider Identifier
1003323213
Registry record updated Oct 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00004525 Issued in WA
Practice address
13333 Meridian E Ste H
Puyallup, WA 98373-2405
Phone
(253) 200-4401
Fax
(253) 200-4402
NPI assigned
Jan 9, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA00004525 WA Primary

Addresses

Primary practice location

13333 Meridian E Ste H
Puyallup, WA 98373-2405

Mailing address

13333 Meridian E Ste H
Puyallup, WA 98373-2405
Phone (253) 200-4401

Other practice location 1

10215 125th Street Ct E
Puyallup, WA 98374-2717
Phone (253) 841-3140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA00004525WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Quest Chiropractic Puyallup Inc PastSince Apr 21, 2016 Accepting new patients
Life Force Chiropractic of Puyallup Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1003323213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13333 MERIDIAN E STE H",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983732405",
            "telephone_number": "253-200-4401",
            "fax_number": "253-200-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13333 MERIDIAN E STE H",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983732405",
            "telephone_number": "253-200-4401",
            "fax_number": "253-200-4402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10215 125th Street Ct E",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983742717",
            "country_code": "US",
            "telephone_number": "253-841-3140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOWERY-REAMS",
        "first_name": "KIMBERLY",
        "middle_name": "LYNN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-09",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00004525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.