Kimberley Chalk, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61589981 Issued in WA

Practice address

3701 Colby Ave
Everett, WA 98201-4979

Phone

(425) 259-3700

Fax

(425) 259-4283

NPI assigned

Sep 26, 2024

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

Other names 1

• Kimberley Chalk Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Aldora Injury and Wellness PLLC

  dba Aldora Injury and Wellness

  • Family Nurse Practitioner
  • Edmonds, WA
  • NPI 1760008270
  NPD
• Keezer Chiropractic Center

  dba The Back Pain Relief Center

  • Chiropractor
  • Everett, WA
  • NPI 1780736116
  NPD

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1629896840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13510 33RD AVE SE",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980124613",
            "telephone_number": "206-775-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 COLBY AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014979",
            "telephone_number": "425-259-3700",
            "fax_number": "425-259-4283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALK",
        "first_name": "KIMBERLEY",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61589981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLEY",
            "last_name": "CHALK",
            "credential": "LMT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Paige Kathryn Chadwick, LMP
• Jennifer Zhang Chai, DMD
• Kongkiat Chaikriangkrai, M.D.
• Chaison & Chaison DDS PLLC (Bothell Orthodontics)
• Sridar Chalaka, MD
• Muhammed Cham
• Nick Lane Chambard, OTR/L
• Anne Elizabeth Chamberlain, MSN, ARNP
• Kaitlyn Marie Chamberlain, LMHC
• Leslie Chamberlain, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.