Active NPI
Kristine Cole, MT
- Massage Therapist
- Port Orchard, WA
National Provider Identifier
1780460097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA61412076
- Practice address
- 451 SW Sedgwick Rd
Port Orchard, WA 98367-6447 - Phone
- (360) 845-1801
- NPI assigned
- Sep 1, 2023
- Last updated
- Sep 1, 2023
- 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 | MA61412076 | WA | Primary |
Addresses
Primary practice location
451 SW Sedgwick Rd
Port Orchard, WA 98367-6447
Mailing address
PO Box 4264
South Colby, WA 98384-0264
Phone (801) 857-0369
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
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA61412076 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693526400000",
"number": "1780460097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4264",
"city": "SOUTH COLBY",
"state": "WA",
"postal_code": "983840264",
"telephone_number": "801-857-0369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 SW SEDGWICK RD",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983676447",
"telephone_number": "360-845-1801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "KRISTINE",
"credential": "MT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-01",
"last_updated": "2023-09-01",
"certification_date": "2023-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA61412076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Orchard, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.