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

Q: What is Kimberly Blackwell's NPI number?

The NPI number for Kimberly Blackwell is 1164120903. It was assigned to this individual provider in the NPPES registry on February 21, 2023. The provider is also known as Kimberly Renee Davis.

Q: What is Kimberly Blackwell's specialty?

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

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: August 16, 2026.

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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

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Other Names 1

Former Name (1)Kimberly Renee Davis

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 Kimberly Blackwell's NPI number?

The NPI number for Kimberly Blackwell is 1164120903. It was assigned to this individual provider in the NPPES registry on February 21, 2023. The provider is also known as Kimberly Renee Davis.

Where is Kimberly Blackwell located?

Kimberly Blackwell practices at 308 NE First St, Winlock, WA 98596. The listed phone number is (360) 762-8501.

What is Kimberly Blackwell'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 Kimberly Blackwell was last updated on February 21, 2023. 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.