Kristin Marie Higgins, L.M.P.
Individual provider Active NPI Massage Therapist · Sumner, WA
NPI 1104036037 · NPPES record last updated Jul 31, 2019
Key facts
- NPI
- 1104036037
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MA00019859 (WA)
- Practice address
- 15404 Main St E
Sumner, WA 98390-2642 - Phone
- (253) 579-2412
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA00019859 | WA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA00019859 | WA | Yes |
Addresses
Primary practice location
15404 Main St E
Sumner, WA 98390-2642
Mailing address
13210 Goodnough Dr NW
Gig Harbor, WA 98332-8639
Phone (253) 579-2412
Other practice location 1
15324 Main St E Ste B
Sumner, WA 98390-2698
Phone (253) 863-5323
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 168525 | Other | WA | AMA MEMBERSHIP |
| MA00019859 | Other | WA | WA STATE LICENSE |
Other names
- Mrs. Kristin Marie Higgins
Other providers in Sumner, WA
- Calvin J Hedman
- David G Helton
- Gareth Duane Hemminger
- Sherrie Henke
- Katrina Lynn Higgins
- Marla Hike
- Laura Hingston
- Hitztaler Counseling, LLC
- Tia Holcom
- Nicole Lynn Howard
All providers in Sumner, WA · Massage Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.