Kimberly Mae Allen, LMP

Individual provider Active NPI Massage Therapist · Burien, WA

NPI 1013080480 · NPPES record last updated Feb 18, 2011

Key facts

NPI
1013080480
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
MA00019643 (WA)
Practice address
445 S 152ND St
Burien, WA 98148-1107
Phone
(206) 246-5370
Fax
(206) 246-4806
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MA00019643WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Leslie B. White, Inc,, PS Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA00019643 WA Yes

Addresses

Primary practice location

445 S 152ND St
Burien, WA 98148-1107

Mailing address

445 S 152ND St
Burien, WA 98148-1107
Phone (206) 246-5370

Other providers in Burien, WA

All providers in Burien, WA · Massage Therapist in Washington

Sources for this page

Verify at the official NPI Registry.