1. Home
  2. Directory
  3. Washington
  4. Winlock
  5. Massage Therapist
  6. NPI Profile

KIMBERLY RENEE BLACKWELL LMT
NPI 1164120903
Massage Therapist in Winlock, WA

Active since February 21, 2023
308 NE FIRST ST, WINLOCK, WA 98596(360) 762-8501 Get Directions Write a Review

NPPES record last updated: February 21, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kimberly Renee Blackwell Lmt NPPES

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

KIMBERLY RENEE BLACKWELL LMT (NPI 1164120903) is an individual massage therapist in Winlock, Washington, licensed in Washington (61395788) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1164120903
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameKIMBERLY RENEE BLACKWELLCredential: LMT
Location Address308 NE FIRST STWinlock, WA 98596
Mailing Address126 Tennessee RdWinlock, WA 98596-9725 · (360) 819-6751
Phone(360) 762-8501
Sole ProprietorNo
Enumeration DateFebruary 21, 2023
NPPES CertifiedFebruary 17, 2023
✔ NPI 1164120903 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 WA · 61395788
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.

308 NE FIRST ST, Winlock, WA 98596
Open in Google Maps ↗

Other Names 1

Former Name (1)Kimberly Renee Davis

Reviews for KIMBERLY RENEE BLACKWELL LMT

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Frequently Asked Questions

What is Kimberly Blackwell's NPI number?

The NPI number assigned to this healthcare provider is 1164120903, enumerated as an "individual" on February 21, 2023.

Where is the provider located?

The provider is located at 308 NE FIRST ST WINLOCK, WA 98596 and the phone number is (360) 762-8501.

What is the provider's specialty?

Massage Therapist with taxonomy code 225700000X.