Amanda Rae Kerth, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60103913 Issued in WA

Practice address

3907 Summitview Ave
Yakima, WA 98902-2716

Phone

(509) 966-1640

Fax

(509) 469-1905

NPI assigned

Oct 22, 2009

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

• Amanda Rae Nettleton Former name

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": "1256169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256169600000",
    "number": "1639405889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8051",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989080051",
            "telephone_number": "509-469-1903",
            "fax_number": "509-469-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3907 SUMMITVIEW AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989022716",
            "telephone_number": "509-966-1640",
            "fax_number": "509-469-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERTH",
        "first_name": "AMANDA",
        "middle_name": "RAE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-22",
        "last_updated": "2009-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60103913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "NETTLETON",
            "middle_name": "RAE",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emily Louise Kenney, RN
• Richard H Kenney, MSW LCSW DCSW
• Maryann Kent
• Owen Kent, LMT
• Ashley Marianne Kernbishop
• Kevin M Harrington, MD, Inc PS
• Keystone Anesthesia Inc
• Ryan Scott Kezele, D.D.S.
• Sahira Khalid
• Mohammad Tariq Khan

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; 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.