Kim E Holder, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00015620 Issued in WA

Practice address

8390 W Gage Blvd
Suite 207
Kennewick, WA 99336-8105

Phone

(509) 374-2600

NPI assigned

Mar 22, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Kim E Lee Other 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.

• Customcare Massage, P.S., Inc

  • Massage Therapist
  • Kennewick, WA
  • NPI 1316061351
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831215474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8390 W GAGE BLVD",
            "address_2": "SUITE 207",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993368105",
            "telephone_number": "509-374-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8390 W GAGE BLVD",
            "address_2": "SUITE 207",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993368105",
            "telephone_number": "509-374-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDER",
        "first_name": "KIM",
        "middle_name": "E",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00015620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0164297",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AWHN",
            "identifier": "239007239006",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "LEE",
            "middle_name": "E",
            "credential": "LMP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mark A Hoitink, MD
• Toni C. Hoitink, O.D.
• Noah Hokanson
• Heather Holben West, M.S.
• Rebecca Holcomb
• Linda Holestine, LMP
• Dylan Hollandsworth, DC
• Kirk Holle, PT
• Kathryn Elizabeth Hollenberg
• Brenda Joy Hollingsworth, LICSW

• Massage Therapist in Kennewick, WA
• Providers in Kennewick, 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.