McKenna R Kohls

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60792001 Issued in WA

Practice address

17416 Sr 9 Ste B
Snohomish, WA 98296-6304

Phone

(360) 668-2000

NPI assigned

Mar 12, 2019

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

Other identifiers 1

Electronic endpoints 1

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 and National Provider Directory roles.

• Clearview Wellness Center, PLLC

  • Chiropractor
  • Snohomish, WA
  • NPI 1174873962

  Massage Therapist

  NPD (past)

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1326506049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19201 67TH AVE SE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982965347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17416 SR 9 STE B",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982966304",
            "telephone_number": "360-668-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLS",
        "first_name": "MCKENNA",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60792001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMT",
            "identifier": "MA60792001",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Chiro8000v16",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "17416 SR 9 Ste B",
            "city": "Snohomish",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982966304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kin Health & Wellness, SPC
• Linda King, LMP
• Madalyn Elizabeth Knapp
• Lindsey Knudson, LICSW
• Maya Itza Koehler, MD
• Benjamin Frank Kolesar
• Korey John Kolrud, B.A.
• Crystal Anne Kombol, M.ED.
• Aaron Jason Kondracki, LMT
• Mark Bayard Kossian, DC, DACS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.