KEELY NICOLE STEWART LMP NPI 1982776670

NPI Information

NPI: 1982776670
Provider Name: KEELY NICOLE STEWART, LMP
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
16923 96TH AVE NE
BOTHELL, WA
ZIP 98011
Phone: (425) 485-7507
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Keely Nicole Stewart, LMP is a massage therapist in Bothell, 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. Keely Nicole Stewart, LMP NPI is 1982776670. 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:

16923 96TH AVE NE
BOTHELL, WA
ZIP 98011-937
Phone: (425) 485-7507
Fax: (425) 483-7332

The enumeration date for this NPI number is 11/15/2006 and was last updated on 7/8/2007.

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		MA17772	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	MA17772	OTHER	WASHINGTON	LICENSE NUMBER

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: 5/5/2024

NPI Synchronization or Removal

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