Thomas Jacob Klicker, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60043015 Issued in WA

Practice address

6734 W 31St Ave
Kennewick, WA 99338-2544

Phone

(509) 416-6540

Fax

(509) 491-3757

NPI assigned

Feb 18, 2010

Sex

Male

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

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1487976395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6734 W 31ST AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993382544",
            "telephone_number": "509-416-6540",
            "fax_number": "509-491-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6734 W 31ST AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993382544",
            "telephone_number": "509-416-6540",
            "fax_number": "509-491-3757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 Vista Way",
            "address_purpose": "LOCATION",
            "city": "Kennewick",
            "state": "WA",
            "postal_code": "993363120",
            "country_code": "US",
            "telephone_number": "509-491-3757",
            "fax_number": "509-491-3757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLICKER",
        "first_name": "THOMAS",
        "middle_name": "JACOB",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-18",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60043015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Semu Kizito
• Matthew Klatt
• Gerald C Klein, D.M.D.
• Kleist Bickel DDS PLLC
• Caitlin Klepper, RN
• Veronica Klicker, NP
• Chelsea Klinger
• KMH Anesthesia LLC
• KMJ Anesthesia PLLC
• Bryce Chad Knapp, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.