Kim Denise Knuth, L.M.P

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00025369 Issued in WA

Practice address

16111 SE McGillivray Blvd Ste a
Vancouver, WA 98683

Phone

(360) 254-0994

Fax

(360) 254-0930

NPI assigned

Dec 3, 2010

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

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

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291334400000",
    "number": "1275835779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16111 SE MCGILLIVRAY BLVD STE A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839033",
            "telephone_number": "360-254-0994",
            "fax_number": "360-254-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16111 SE MCGILLIVRAY BLVD STE A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98683",
            "telephone_number": "360-254-0994",
            "fax_number": "360-254-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUTH",
        "first_name": "KIM",
        "middle_name": "DENISE",
        "credential": "L.M.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-03",
        "last_updated": "2010-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00025369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Roy Knowlden, LMP
• Peggy A. Knowles, ARNP
• Richard Derrick Knowles, MD
• Ellen Knox
• Tomoko Knudtson
• Patrick Knutson, PA-C
• Emil V. Knysh, L.M.P.
• Yuriy V Knysh, LMP
• Michael Kenneth Koceja, DDS
• Kristin Koch

• 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 3, 2010; 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.