Kenneth Lee Barnes

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00018376 Issued in WA

Practice address

6603 220TH St SW
Suite 1-C
Mountlake Terrace, WA 98043-2186

Phone

(425) 776-1056

Fax

(425) 776-4357

NPI assigned

Dec 15, 2006

Sex

Male

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

• Kenneth Lee Barnes Professional 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.

• Edmonds Massage Center

  • Massage Therapist
  • Mountlake Terrace, WA
  • NPI 1700080256
  NPD (past)

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689736332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31501 106TH PL SE APT P3",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980923066",
            "telephone_number": "253-939-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6603 220TH ST SW",
            "address_2": "SUITE 1-C",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432186",
            "telephone_number": "425-776-1056",
            "fax_number": "425-776-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "KENNETH",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00018376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENNETH",
            "last_name": "BARNES",
            "middle_name": "LEE",
            "credential": "LMP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Massage Therapist in Mountlake Terrace, WA
• Providers in Mountlake Terrace, 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.