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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NPI Details

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
1225700000XMassage TherapistMA60299863WASHINGTONYes

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: 11/21/2025

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