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CHARLIE N JIM LMT
NPI 1376075879
Massage Therapist in Kent, WA

Active since April 03, 2017
25012 104TH AVE SE, STE C, KENT, WA 98030(253) 856-3477(253) 856-3478 Get Directions Write a Review

NPPES record last updated: April 3, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charlie N Jim Lmt NPPES

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

CHARLIE N JIM LMT (NPI 1376075879) is an individual massage therapist in Kent, Washington, licensed in Washington (MA60743843) and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1376075879
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameCHARLIE N JIMCredential: LMT
Location Address25012 104TH AVE SE, STE CKent, WA 98030-2821
Mailing Address790 Remington BlvdBolingbrook, IL 60440-4909 · (630) 296-2223 · Fax (630) 759-9510
Phone(253) 856-3477
Fax(253) 856-3478
Sole ProprietorNo
Enumeration DateApril 3, 2017
✔ NPI 1376075879 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 · MA60743843
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.
25012 104TH AVE SE, Kent, WA 98030
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Other Providers at the Same Location NPPES 20

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

MS. HYE RYUN HELEN KIM OTR/L, CHT
Occupational Therapist
25012 104TH AVE SE, STE C
KENT, WA 98030
King County (253) 856-3477
LAKISHA M. DICKENS LMP
Massage Therapist
25012 104TH AVE SE, STE C
KENT, WA 98030
King County (253) 856-3477
ALEKSANDR VELIT
Massage Therapist
25012 104TH AVE SE
KENT, WA 98030
King County (253) 326-1852
MITCHELL L. RAICH D.C.
Chiropractor
25012 104TH AVE SE, STE E
KENT, WA 98030
King County (253) 854-1233
SARAH L KJORSTAD MPT
Physical Therapist
25012 104TH AVE SE, SUITE C
KENT, WA 98030
King County (253) 856-3477
LISA J MCCANN LMP
Massage Therapist
25012 104TH AVE SE, SUITE C
KENT, WA 98030
King County (253) 856-3477
ANNA B QUAST DPT
Physical Therapist
25012 104TH AVE SE, SUITE C
KENT, WA 98030
King County (253) 856-3477
KAITLYN KUSSKE LMP
Massage Therapist
25012 104TH AVE SE, STE C
KENT, WA 98030
King County (253) 856-3477

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 Charlie Jim's NPI number?

The NPI number for Charlie Jim is 1376075879. It was assigned to this individual provider in the NPPES registry on April 3, 2017.

Where is Charlie Jim located?

Charlie Jim practices at 25012 104th Ave SE Ste C, Kent, WA 98030. The listed phone number is (253) 856-3477.

What is Charlie Jim'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 Charlie Jim was last updated on April 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.