Kathi Marie Christensen-Manneh, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00019918 Issued in WA

Practice address

269 Lone Dove LN
Union Gap, WA 98903-9726

Phone

(425) 761-2662

NPI assigned

Dec 3, 2018

Last updated

Dec 3, 2018By the provider in NPPES

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 3

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": "1543795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1528538527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3026",
            "city": "UNION GAP",
            "state": "WA",
            "postal_code": "989030026",
            "telephone_number": "425-761-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 LONE DOVE LN",
            "city": "UNION GAP",
            "state": "WA",
            "postal_code": "989039726",
            "telephone_number": "425-761-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN-MANNEH",
        "first_name": "KATHI",
        "middle_name": "MARIE",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-03",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00019918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMTA",
            "identifier": "ACH2006538",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCBTM",
            "identifier": "419229-00",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE DOH",
            "identifier": "MA00019918",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Risa Naomi Campos, DNP, ARNP, FNP-C
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• Lizet Carpenter
• Yvette Chapman
• Krystal R Clemmons
• Cole Vision Corporation (Sears Optical #C0182)
• Community Counseling Clinic LLC
• Costco Wholesale Corporation
• Costco Wholesale Corporation (Costco Hearing Aid #1013)

• Massage Therapist in Union Gap, WA
• Providers in Union Gap, WA by specialty
• Massage Therapist in Washington

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