Casildra J Kummer, LMP

Individual provider Active NPI Massage Therapist · Westport, WA

NPI 1306969332 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1306969332
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
MA0014367 (WA)
Practice address
740 Veterans Ave
Westport, WA 98595
Phone
(360) 268-0201
NPI assigned
Apr 6, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MA0014367WAMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA0014367 WA Yes

Addresses

Primary practice location

740 Veterans Ave
Westport, WA 98595

Mailing address

PO Box 773
Westport, WA 98595
Phone (360) 268-0201

Other identifiers

IdentifierTypeStateIssuer
0196004OtherL & I

Other names

  • Cindy Kummer Other name

Other providers in Westport, WA

All providers in Westport, WA · Massage Therapist in Washington

Sources for this page

Verify at the official NPI Registry.