JESSICA KINKELAAR CAMPBELL LMP NPI 1154662195

NPI Information

NPI: 1154662195
Provider Name: JESSICA KINKELAAR CAMPBELL, LMP
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
12815 CANYON RD E STE R
PUYALLUP, WA
ZIP 98373
Phone: (253) 686-4606
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Jessica Kinkelaar Campbell, LMP is a massage therapist in Puyallup, WA. The provider is 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. Jessica Kinkelaar Campbell, LMP NPI is 1154662195. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12815 CANYON RD E STE R
PUYALLUP, WA
ZIP 98373-104
Phone: (253) 686-4606
Fax: (253) 446-6022

The enumeration date for this NPI number is 3/14/2013 and was last updated on 8/25/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		MA60275438	WASHINGTON	Yes
2	376K00000X	Nurse's Aide		NC10096120	WASHINGTON	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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