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Kimberly Renee Blackwell, LMT
Massage Therapist in Winlock, Washington
NPI 1164120903

Kimberly Renee Blackwell is a Massage Therapist based in Winlock, WA. Kimberly Renee Blackwell practices in Winlock, WA and has the professional credentials of LMT. The NPI Number for Kimberly Renee Blackwell is 1164120903 and holds a License No. 61395788 (Washington).

The current practice location address for Kimberly Renee Blackwell is 308 Ne First St, Winlock, WA and can be reached out via phone at 360-762-8501.

Location: 308 Ne First St, Winlock, WA, 98596-9725
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164120903
Provider Name
Kimberly Renee Blackwell
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
308 Ne First St, Winlock, WA, 98596-9725
Phone Number
360-762-8501
Fax Number
Provider Enumeration Date
02/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
308 Ne First St
City
Winlock
State
Washington
Zip
98596
Phone Number
360-762-8501
Fax Number
person
Provider Business Mailing Address Details
Address
308 Ne First St
City
Winlock
State
Washington
Zip
98596
Phone Number
360-762-8501
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
61395788 (Washington)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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