Organization Active NPI

Kreidel Therapeutic Massage

  • Massage Therapist
  • Issaquah, WA
National Provider Identifier
1932393956
Registry record updated Sep 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
8632 Issued in WA
Legal business name
KREIDEL THERAPEUTIC MASSAGE
Practice address
5825 221St PL SE
Ste 103
Issaquah, WA 98027-8927
Phone
(425) 837-8802
Fax
(425) 831-5696
NPI assigned
Sep 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2007

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

Authorized official

Name
Kimberly S Kreidel-Reimer, LMP
Title
Owner
Phone
(425) 837-8802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 8632 WA Primary

Addresses

Primary practice location

5825 221St PL SE
Ste 103
Issaquah, WA 98027-8927

Mailing address

5825 221St PL SE
Ste 103
Issaquah, WA 98027-8927
Phone (425) 837-8802

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1188777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188777600000",
    "number": "1932393956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 221ST PL SE",
            "address_2": "STE 103",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980278927",
            "telephone_number": "425-837-8802",
            "fax_number": "425-831-5696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 221ST PL SE",
            "address_2": "STE 103",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980278927",
            "telephone_number": "425-837-8802",
            "fax_number": "425-831-5696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KREIDEL THERAPEUTIC MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-03",
        "last_updated": "2007-09-03",
        "status": "A",
        "authorized_official_last_name": "KREIDEL-REIMER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-837-8802",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "8632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.