Kimberley Renee Cortina, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60043424 Issued in WA

Practice address

5050 State Highway 303 NE Ste A101
Bremerton, WA 98311-3629

Phone

(360) 627-7408

NPI assigned

Sep 29, 2017

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

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": "1506643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506643200000",
    "number": "1922517226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5244",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983120500",
            "telephone_number": "253-341-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 STATE HIGHWAY 303 NE STE A101",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983113629",
            "telephone_number": "360-627-7408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTINA",
        "first_name": "KIMBERLEY",
        "middle_name": "RENEE",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-29",
        "last_updated": "2017-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60043424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Matthew Cornett, PH.D, RN
• Brayden Cornish
• Lorena Corona Reyes
• Michael John Corpolongo, PH.D.
• James Correll
• Krystle Lynne Costa
• Tracee Arlene Costa, LMP
• Jennifer Michelle Cote, MA, LMHC, SUDP
• Darren Larol Cotton
• Liv Counsel

• Massage Therapist in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2017; 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.