Active NPI
Kirsty A Massingham
- Massage Therapist
- Port Angeles, WA
National Provider Identifier
1720314065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60118155
- Practice address
- 1215 E 1St St Ste E
Port Angeles, WA 98362-4323 - Phone
- (360) 417-1153
- NPI assigned
- Oct 21, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60118155 | WA | Primary |
Addresses
Primary practice location
1215 E 1St St Ste E
Port Angeles, WA 98362-4323
Mailing address
2107 Driftwood PL
Port Angeles, WA 98363-5117
Phone (360) 457-6175
Other names 1
- Kirsten A Harker-Massingham
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA60118155 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256083200000",
"number": "1720314065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2107 DRIFTWOOD PL",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983635117",
"telephone_number": "360-457-6175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 E 1ST ST STE E",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983624323",
"telephone_number": "360-417-1153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSINGHAM",
"first_name": "KIRSTY",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-21",
"last_updated": "2009-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60118155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIRSTEN",
"last_name": "HARKER-MASSINGHAM",
"middle_name": "A",
"credential": "LMP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Port Angeles, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.