KIRSTEN MICHELLE KNICKERBOCKER NPI 1194079053

NPI Information

NPI: 1194079053
Provider Name: KIRSTEN MICHELLE KNICKERBOCKER
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
11314 4TH AVE W
EVERETT, WA
ZIP 98204
Phone: (425) 355-3736
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Kirsten Michelle Knickerbocker is a massage therapist in Everett, 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. Kirsten Michelle Knickerbocker NPI is 1194079053. 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:

11314 4TH AVE W
EVERETT, WA
ZIP 98204-926
Phone: (425) 355-3736

The enumeration date for this NPI number is 10/30/2012 and was last updated on 10/30/2012.

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		MA60299863	WASHINGTON	Yes

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: 11/14/2023

NPI Synchronization or Removal

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