Kimberly McGowan, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT-17910 Issued in AZ

Practice address

412 E Lazy Horse PL
Tucson, AZ 85704-7215

Phone

(520) 869-2740

NPI assigned

Jan 13, 2021

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": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1962091082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 E LAZY HORSE PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857047215",
            "telephone_number": "520-869-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 E LAZY HORSE PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857047215",
            "telephone_number": "520-869-2740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6955 N Oracle Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857044224",
            "country_code": "US",
            "telephone_number": "520-869-2740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGOWAN",
        "first_name": "KIMBERLY",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT-17910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Marie McGlynn, LPC
• Carol A McGonigle, D.D.S.
• David Paul McGough, ED.S.
• Shannon McGovern, PH.D.
• Diana Maria McGowan-Hernandez, RRT
• Barbara Benkiser McGrath, NP
• Ellen McGrath
• John Michael McGrath, LCSW
• Kathe E. K. McGrath, M.S., CCC-SLP
• Kody G McGregor, BCBA

• Massage Therapist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Massage Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.