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JESSICA KINKELAAR CAMPBELL LMP
NPI 1154662195
Massage Therapist in Puyallup, WA

Active since March 14, 2013
12815 CANYON RD E STE R, PUYALLUP, WA 98373(253) 686-4606(253) 446-6022 Get Directions Write a Review

NPPES record last updated: August 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 25, 2022, Mar 4, 2022, Feb 24, 2022 (3 updates tracked since 2022).

About Jessica Kinkelaar Campbell Lmp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA KINKELAAR CAMPBELL LMP (NPI 1154662195) is an individual massage therapist in Puyallup, Washington, licensed in Washington (MA60275438) and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1154662195
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameJESSICA KINKELAAR CAMPBELLCredential: LMP
Location Address12815 CANYON RD E STE RPuyallup, WA 98373-5104
Mailing AddressPo Box 273Graham, WA 98338-0273 · (253) 686-4606 · Fax (253) 446-6022
Phone(253) 686-4606
Fax(253) 446-6022
Sole ProprietorYes
Enumeration DateMarch 14, 2013
Last NPPES UpdateAugust 25, 20223 updates tracked since enumeration
NPPES CertifiedAugust 25, 2022
✔ NPI 1154662195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in WA · MA60275438
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.
Also ListedNurse's AideTaxonomy 376K00000X · License NC10096120 (WA)
12815 CANYON RD E STE R, Puyallup, WA 98373
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Other Names 1

Former Name (1)Jessica Kinkelaar Smith Lmp

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MILLENNIUM MEDICAL SUPPLY
Durable Medical Equipment & Medical Supplies
12815 CANYON RD E STE R
PUYALLUP, WA 98373
Pierce County (187) 787-5509
ALLISON YVONNE SCHACTLER LMP
Massage Therapist
12815 CANYON RD E STE R
PUYALLUP, WA 98373
Pierce County (253) 985-9208

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Campbell's NPI number?

The NPI number for Jessica Campbell is 1154662195. It was assigned to this individual provider in the NPPES registry on March 14, 2013. The provider is also known as Jessica Kinkelaar Smith Lmp.

Where is Jessica Campbell located?

Jessica Campbell practices at 12815 Canyon Rd E Ste R, Puyallup, WA 98373. The listed phone number is (253) 686-4606.

What is Jessica Campbell's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Jessica Campbell was last updated on August 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.