Kyle Everett Bisch, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61328621 Issued in WA

Practice address

11000 NW 14TH Ave
Vancouver, WA 98685-4188

Phone

(360) 836-4871

NPI assigned

Jul 17, 2024

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

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": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1275371817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 NW 14TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986854188",
            "telephone_number": "360-836-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 NW 14TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986854188",
            "telephone_number": "360-836-4871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISCH",
        "first_name": "KYLE",
        "middle_name": "EVERETT",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61328621",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "28710",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Diane Birkeland, M.A.
• Taylor Alexis Birkland, PHARMD
• Nallely Birrueta
• Scott R Bisbing, DO
• Elayna Bisby
• Vanessa E Bishop, NIC, CORECHI, OCHI
• Daniel F. L. Bisner I
• Jeana Lynn Bisping
• Daniel M Bissell, MD
• Marrisa Lindsey Bissonnette, LMT, CR

• Massage Therapist in Vancouver, WA
• Providers in Vancouver, 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 4, 2024; 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.