Amanda Justine Knutson, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60179386 Issued in WA

Practice address

19901 1St Ave S Ste 407
Normandy Park, WA 98148-2411

Phone

(206) 870-6177

Fax

(206) 870-6176

NPI assigned

Dec 13, 2010

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• R.a. Shelton, Inc.

  dba Normandy Park Family Chiropractic

  • Chiropractor
  • Normandy Park, WA
  • NPI 1942219456
  NPD (past)

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292198400000",
    "number": "1649573650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19901 1ST AVE S STE 407",
            "city": "NORMANDY PARK",
            "state": "WA",
            "postal_code": "981482411",
            "telephone_number": "206-870-6177",
            "fax_number": "206-870-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19901 1ST AVE S STE 407",
            "city": "NORMANDY PARK",
            "state": "WA",
            "postal_code": "981482411",
            "telephone_number": "206-870-6177",
            "fax_number": "206-870-6176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUTSON",
        "first_name": "AMANDA",
        "middle_name": "JUSTINE",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60179386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy Lee Kimpo, PHD, LMHC
• Natalie Susan King, EAMP
• Kintsugi Physical Therapy
• Anthony W Kiriluk, MD
• Andrea Noel Knapp, PT
• Lauren Frederick LLC
• Adine J Lee, MA CFT
• Max M Lee, MD
• Leshaw Chiropractic PLLC (Ascent Chiropractic)
• Merry Long, MS, LMFT

• Massage Therapist in Normandy Park, WA
• Providers in Normandy Park, 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 13, 2010; 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.