Katherine Braaten, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60823474 Issued in WA

Practice address

221D NE 104TH Ave Ste 205
Vancouver, WA 98664-4598

Phone

(360) 737-9665

NPI assigned

Jan 15, 2018

Sex

Female

Sole proprietor

No

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

Credentials

Master of Theology

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.

• KMB Bodyworks LLC

  • Massage Therapist
  • Vancouver, WA
  • NPI 1588121156
  NPD (past) Authorized official

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

{
    "created_epoch": "1515974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515974400000",
    "number": "1508374356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 E ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633238",
            "telephone_number": "503-409-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221D NE 104TH AVE STE 205",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986644598",
            "telephone_number": "360-737-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAATEN",
        "first_name": "KATHERINE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-15",
        "last_updated": "2018-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60823474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack Theodore Boyle, DC
• Kindra Roxanne Boyle, LMP
• Kirah Boynton-Brown, DPT, PT
• Brittani Nicole Bozeman, MA
• BR Anesthesia-Wa PLLC
• Ariana Brace
• Kelly Brachman, MSW
• Kelly Sue Bracken, PMHNP
• Kristy Bracken, LMP
• Rachael M Bradbury, BA, AAC

• All providers in Vancouver, WA
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2018; 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.