Kathy Jo King, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT2654 Issued in ME

Practice address

165 State St
Brewer, ME 04412-1536

Phone

(207) 992-8175

NPI assigned

Dec 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206489600000",
    "number": "1902965114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 MASONIC RD",
            "city": "DIXMONT",
            "state": "ME",
            "postal_code": "049323543",
            "telephone_number": "207-992-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 STATE ST",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044121536",
            "telephone_number": "207-992-8175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "KATHY",
        "middle_name": "JO",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2008-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ME",
            "license": "MT2654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Forrest Kelley, LCPC
• Patricia Ann Kenaley, FNP
• Emily Ketch, OD
• Lisa M Keyser, CLINICAL SOCIAL WORK
• Sean Patrick Kidwell, PHARMD
• Danielle M Kissinger, DPT
• Kathleen Anne Knipscher, DO
• Mitchell Deanna Kohls
• Julie Reva Kominsky
• Brandon Kong

• Massage Therapist in Brewer, ME
• Providers in Brewer, ME by specialty
• Massage Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; 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.