Kyle Alexander Chamblin, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

61110413 Issued in WA

Practice address

532 N 5TH Ave
Sequim, WA 98382-3185

Phone

(360) 683-7911

Fax

(360) 683-3981

NPI assigned

Sep 29, 2020

Last updated

Nov 3, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Practice roles

Locations

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.

• Sorensen Chiropractic LLC

  • Chiropractor
  • Sequim, WA
  • NPI 1366624835
  NPD

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1326655770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 CLARK RD",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983828063",
            "telephone_number": "360-565-6043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 N 5TH AVE",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823185",
            "telephone_number": "360-683-7911",
            "fax_number": "360-683-3981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBLIN",
        "first_name": "KYLE",
        "middle_name": "ALEXANDER",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-29",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "61110413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Marvin Card, D.C.
• Carlsborg Chiropractic Center, PLLC
• Cascade Health Services PLLC (Sequim Clinic)
• Susan Leanne Cates, CCC-SLP
• Natalie Caudle, APRN-CNP
• Kelsey Chatski, NP-C
• Stacy Chen, OD
• Monique Chhabra
• Corey S Chin, LMT
• Suree Chommuang, ARNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.