KIMBERLY JEAN KINGLSEY CMT
NPI 1073128625
Massage Therapist in Vallejo, CA
Active since September 10, 2020
About Kimberly Jean Kinglsey Cmt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY JEAN KINGLSEY CMT (NPI 1073128625) is an individual massage therapist in Vallejo, California, licensed in California (41479) and active in the NPI registry since September 2020.
NPPES Registry Identity
NPI1073128625
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameKIMBERLY JEAN KINGLSEYCredential: CMT
Location Address212 WILLOW STVallejo, CA 94589-2335
Mailing Address212 Willow StVallejo, CA 94589-2335 · (707) 481-9966
Phone(707) 481-9966
Sole ProprietorYes
Enumeration DateSeptember 10, 2020
NPPES CertifiedSeptember 10, 2020
✔ NPI 1073128625 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in CA · 41479
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.
212 WILLOW ST, Vallejo, CA 94589
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073128625, enumerated as an "individual" on September 10, 2020.
The provider is located at 212 WILLOW ST VALLEJO, CA 94589 and the phone number is (707) 481-9966.
Massage Therapist with taxonomy code 225700000X.
