Kirsten Mancillas, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MASS.MA.70076101 Issued in WA

Practice address

344 Cleveland Ave SE Ste D
Tumwater, WA 98501-3342

Phone

(360) 357-5170

Fax

(360) 357-5173

NPI assigned

Dec 15, 2020

Sex

Female

Sole proprietor

No

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.

• Tanasse Chiropractic, Inc.

  • Rehabilitation Chiropractor
  • Tumwater, WA
  • NPI 1689744534
  NPD
• South Sound Behavior Therapy Corp

  • Community/Behavioral Health Agency
  • Olympia, WA
  • NPI 1306184593
  NPD (past)

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1265028062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 CLEVELAND AVE SE STE D",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985013342",
            "telephone_number": "360-357-5170",
            "fax_number": "360-357-5173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 CLEVELAND AVE SE STE D",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985013342",
            "telephone_number": "360-357-5170",
            "fax_number": "360-357-5173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCILLAS",
        "first_name": "KIRSTEN",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-15",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MASS.MA.70076101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridgid Colette Maguire
• Susan Kay Mahoney, RPH
• Gilberto Maldonado, LICSWA, CDPT
• Katy Elizabeth Maleta
• Kristin Mallory, LMP
• Alana Nicole Manley
• Brent James Manley, D.C.
• Shelliene Brianne Mann, SUDPT
• Georgina Lizbeth Marquez
• Nicole J Marsyla

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; 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.