Kathleen Marie Dan, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61403618 Issued in WA

Practice address

500 W Main St Ste D
Centralia, WA 98531-4252

Phone

(360) 623-1214

Fax

(360) 623-1215

NPI assigned

Oct 1, 2024

Last updated

Oct 1, 2024By the provider in NPPES

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Keysar Center of Massage for the Medically Fragile

  • Specialist
  • Centralia, WA
  • NPI 1649547126
  NPD (past)
• Wellness Pointe

  • Primary Care Clinic/Center
  • Chehalis, WA
  • NPI 1851130488

  Massage Therapist

  NPD (past)

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

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1285452920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W MAIN ST STE D",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985314252",
            "telephone_number": "360-623-1214",
            "fax_number": "360-623-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W MAIN ST STE D",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985314252",
            "telephone_number": "360-623-1214",
            "fax_number": "360-623-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAN",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-01",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61403618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Czech
• Leah J Daarud, AAC
• Mateo Dado-Sandoval
• Allison P Dahl
• Aaron Matthew Dalan, MD
• Huy D Dang, DPM
• Kyndall R Daniels, AAC
• Kyle Edward Davidson
• Heather Ann Day, APNP
• Amanda De Los Santos, AAC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.