Kimberly L Wigginton, LMT
Individual provider Active NPI Massage Therapist · Philpot, KY
NPI 1336481597 · NPPES record last updated Mar 26, 2013
Key facts
- NPI
- 1336481597
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- KY 4398 (KY)
- Practice address
- 1225 Crane Pond Rd
Philpot, KY 42366-9206 - Phone
- (270) 993-3002
- NPI assigned
- Mar 26, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY 4398 | KY | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | KY 4398 | KY | Yes |
Addresses
Primary practice location
1225 Crane Pond Rd
Philpot, KY 42366-9206
Mailing address
1225 Crane Pond Rd
Philpot, KY 42366-9206
Phone (270) 993-3002
Other providers in Philpot, KY
- Linda Boarman FNP PLLC
- Courtney Onan
- Emily Beth Payne
- Megan Ashley Payne
- John Mark Tyler
- Lisa Winkler
All providers in Philpot, KY · Massage Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.