Kimberlynn Marie Chandler-McDaniel, LMP
Individual provider Active NPI Massage Therapist · Spanaway, WA
NPI 1104220656 · NPPES record last updated Oct 13, 2014
Key facts
- NPI
- 1104220656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- Practice address
- 927 173Rd St S
Spanaway, WA 98387-8997 - Phone
- (253) 306-2053
- NPI assigned
- Oct 13, 2014
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | WA | Yes |
Addresses
Primary practice location
927 173Rd St S
Spanaway, WA 98387-8997
Mailing address
PO Box 520
Spanaway, WA 98387-0520
Phone (253) 306-2053
Other providers in Spanaway, WA
- Thomas James Campbell
- Joseph Robert Canto Jr.
- Phillip Cappetto
- Carols Kreation and Boutique LLC
- Najela Ladawn Carter
- Asia Chatman
- Joan Cheptum-Maritim
- Joshua H Chipperfield
- Wai Ying Cho
- Kathleen Christensen
All providers in Spanaway, 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 Oct 13, 2014. 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.