Laurie Klemmedson, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00020130 Issued in WA

Practice address

13622 NE 20TH St Ste a
Bellevue, WA 98005-4900

Phone

(206) 406-6556

NPI assigned

Aug 5, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1104835446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18610 NE 109TH ST",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980522900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13622 NE 20TH ST STE A",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980054900",
            "telephone_number": "206-406-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEMMEDSON",
        "first_name": "LAURIE",
        "name_prefix": "Ms.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00020130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SATE LICENSE LMP",
            "identifier": "MA00020130",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I NUMBER",
            "identifier": "0203227",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX REGISTRATION",
            "identifier": "602 511 702 1 1",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborra Kay Klein, LMP
• Kate Klein
• Katherine Denison Klein, PH.D.
• Mariola T Klein, DOULA
• Emily Klemisch
• Todd Robert Klesert, M.D., PH.D.
• Samantha A Klim, ND
• Carolyn Roberta Kline, MD, MPH
• Valery Klionsky, LMP
• Addison Kloeckner

• Massage Therapist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.