Kimberly Bianco-Smith
Individual provider Active NPI Massage Therapist · Snoqualmie, WA
NPI 1902206196 · NPPES record last updated Aug 26, 2014
Key facts
- NPI
- 1902206196
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MA00012293 (WA)
- Practice address
- 35230 SE Ridge St Unit C
Snoqualmie, WA 98065-9035 - Phone
- (425) 777-0405
- NPI assigned
- Aug 26, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA00012293 | WA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA00012293 | WA | Yes |
Addresses
Primary practice location
35230 SE Ridge St Unit C
Snoqualmie, WA 98065-9035
Mailing address
35230 SE Ridge St Unit C
Snoqualmie, WA 98065-9035
Phone (425) 777-0405
Other providers in Snoqualmie, WA
- Beehave Academy
- Courtney Bell
- Tiana Bennett-Tzintzun
- Chelsea Berg
- Denys Bezman
- Anna Lizabeth Biddle
- Heidi Biddle
- Sara Birtell
- Margaret Blackmon
- Quintonna Blackmon
All providers in Snoqualmie, WA · Massage Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.