Andrea Lyn Kittilson, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00015434 Issued in WA

Practice address

721 M St. S.E.
Suite #105
Auburn, WA 98002

Phone

(253) 939-9599

Fax

(253) 804-5655

NPI assigned

Jan 11, 2007

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 identifiers 1

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689724874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34024 1ST PL S",
            "address_2": "APT. # B",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036566",
            "telephone_number": "253-334-6053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 M ST. S.E.",
            "address_2": "SUITE #105",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "98002",
            "telephone_number": "253-939-9599",
            "fax_number": "253-804-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITTILSON",
        "first_name": "ANDREA",
        "middle_name": "LYN",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00015434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "0194690",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jane Wambui Kinyanjui
• Lyubov Kiris
• Phyllis P Kirk, RD
• Joy Alene Kirkpatrick, MFT
• Lieon Lung Piu Kit, DPT
• Nathan Kittle, MD
• Damaris Wakonyo Kiuna, RN
• Donald Klemkow
• Mary E Klueber, PTA
• Robert Kneller, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.