Active NPI
Kimberlee A McGrath
- Massage Therapist
- Kelso, WA
National Provider Identifier
1891936894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 00024222
- Practice address
- 802 Allen St
Kelso, WA 98626-4406 - Phone
- (360) 501-4378
- Fax
- (360) 578-1550
- NPI assigned
- Mar 20, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA 00024222 | WA | Primary |
| Massage Therapist | 225700000X | MA 0022867 | WA |
Addresses
Primary practice location
802 Allen St
Kelso, WA 98626-4406
Mailing address
802 Allen St
Kelso, WA 98626-4406
Phone (360) 501-4378
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 |
|---|---|---|---|
| MA 00024222 | WA | MD | Massage Therapist |
| MA 0022867 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238630400000",
"number": "1891936894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "802 ALLEN ST",
"city": "KELSO",
"state": "WA",
"postal_code": "986264406",
"telephone_number": "360-501-4378",
"fax_number": "360-578-1550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 ALLEN ST",
"city": "KELSO",
"state": "WA",
"postal_code": "986264406",
"telephone_number": "360-501-4378",
"fax_number": "360-578-1550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGRATH",
"first_name": "KIMBERLEE",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-20",
"last_updated": "2009-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA 00024222",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA 0022867",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kelso, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.