Kimberli Booth, MT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

0000009963 Issued in TN

Practice address

217 Ward St
Benton, TN 37307-3054

Phone

(423) 338-8088

Fax

(423) 338-8188

NPI assigned

May 17, 2013

Last updated

May 17, 2013By the provider in NPPES

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

Credentials

Medical Technician

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Joseph Matthew Gager

  • Physical Therapist
  • Benton, TN
  • NPI 1548039704
  NPD (past)

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

{
    "created_epoch": "1368748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368748800000",
    "number": "1053757005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 767",
            "city": "BENTON",
            "state": "TN",
            "postal_code": "373070767",
            "telephone_number": "423-338-8088",
            "fax_number": "423-338-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 WARD ST",
            "city": "BENTON",
            "state": "TN",
            "postal_code": "373073054",
            "telephone_number": "423-338-8088",
            "fax_number": "423-338-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "KIMBERLI",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-17",
        "last_updated": "2013-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TN",
            "license": "0000009963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rocklan Beavers, M.A.
• Kimberly Ann Bishop, RN
• Robin Denise Blackburn, RN
• Katherine H Branham, LPN
• Rachel McClary Brewer, PHARMD.
• Lora M Brown, RN
• Brooke Burris
• Change Academy at Lake of the Ozarks

• Massage Therapist in Benton, TN
• Providers in Benton, TN by specialty
• Massage Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; 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.