Minah Kim, MT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60422590 Issued in WA

Practice address

5322 Orchard St W
University Place, WA 98467-3633

Phone

(253) 476-3333

Fax

(253) 476-3334

NPI assigned

Mar 17, 2014

Last updated

Mar 17, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Medical Technician

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.

• Dana Krank & Angelito Mabini Co

  dba Big Sky Physical Therapy Health & Performance

  • Physical Therapist
  • University Place, WA
  • NPI 1740551860
  NPD (past)
• Epic PT Health & Performance LLC

  dba Epic Physical Therapy

  • Physical Therapist
  • Tacoma, WA
  • NPI 1407282734
  NPD (past)

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395014400000",
    "number": "1699191494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5043 AUBURN WAY S",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980927205",
            "telephone_number": "360-292-7245",
            "fax_number": "360-292-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5322 ORCHARD ST W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984673633",
            "telephone_number": "253-476-3333",
            "fax_number": "253-476-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "MINAH",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-17",
        "last_updated": "2014-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60422590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dae Ok Kim
• Donna Kim, MS, RD
• Jonathan J Kim, RN
• Kwang Hyo Kim
• Lindsay Kim, DDS
• You-Ree Kim
• Lisa Ann Kingsley, LMP
• David Kinyua
• Caitlyn Kirkland
• Edward Phillip Kiss, DMD

• Massage Therapist in University Place, WA
• Providers in University Place, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; 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.