Kimberly Austin, CMT
Individual provider Active NPI Massage Therapist · Fair Oaks, CA
NPI 1962997809 · NPPES record last updated Jun 23, 2018
Key facts
- NPI
- 1962997809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 68526 (CA)
- Practice address
- 9915 Fair Oaks Blvd Ste D
Fair Oaks, CA 95628-7433 - Phone
- (916) 257-8269
- NPI assigned
- Jun 23, 2018
- 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 |
|---|---|---|---|
| 68526 | CA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 68526 | CA | Yes |
Addresses
Primary practice location
9915 Fair Oaks Blvd Ste D
Fair Oaks, CA 95628-7433
Mailing address
9915 Fair Oaks Blvd Ste D
Fair Oaks, CA 95628-7433
Phone (916) 257-8269
Other providers in Fair Oaks, CA
- Arclight Healthcare
- Thomas James Arostegui
- Arroyo Senior Care
- Annette C Asplund
- Jennifer Aubrey
- Makenzie Nicole Bailey
- Bainer Chiropractic Inc.
- Mark Charles Bainer
- Jaswinder Pal Singh Bajwa
- Michael Baker
All providers in Fair Oaks, CA · Massage Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2018. 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.