Kimberly Marie Bounds, PTA

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT104684 Issued in TX

Practice address

1301 Esther Blvd
Bryan, TX 77802

Phone

(979) 676-1480

NPI assigned

Oct 29, 2009

Last updated

Sep 7, 2018By 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 2

Addresses

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": "1256774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1740516400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3266 FAZZINO LN",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778075418",
            "telephone_number": "979-676-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 ESTHER BLVD",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "77802",
            "telephone_number": "979-676-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUNDS",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-29",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2083880",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT104684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hershanber N Bookman
• Keithchanda Boone, PTA, BS-CSM
• Andrea Psalm Borden, IBCLC
• Suzette Grier Bosveld, DNP, FNP-BC
• Rolando Alfredo Botello
• Lacey E Bounds, LMT
• Tonyon Boyo, FNP-BC
• Edward Collier Boytim, CRNA, CNS
• Stephen A Braden, M.D.
• Zach Bradford

• Massage Therapist in Bryan, TX
• Providers in Bryan, TX by specialty
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; 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.