Kaeleen Knorr, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

61483237 Issued in WA

Practice address

610 Beach Ave Ste 1
Marysville, WA 98270-4571

Phone

(425) 422-1558

Fax

(360) 547-6512

NPI assigned

Sep 11, 2023

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

State licenses

Practice roles

Locations

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.

• Earthbody Massage and Spa

  • Specialist
  • Marysville, WA
  • NPI 1720662570
  NPD

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1164209672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7105 74TH ST NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982707760",
            "telephone_number": "425-219-9396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 BEACH AVE STE 1",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982704571",
            "telephone_number": "425-422-1558",
            "fax_number": "360-547-6512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNORR",
        "first_name": "KAELEEN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "61483237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Peter Klein, D.O.
• Sandra Raeann Klindtworth, M.S., MFT
• Michael R Klindworth, O.D.
• Olivia Margaret Klinkhammer, D.O.
• Knight Vision Northwest PLLC
• Ayse Didem Koc
• Kimberly Koehler
• Laura Maria Kogson-Pierce, DMD
• Jenny-Lee Kramar, BDS
• Melissa Krieg, PTA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.