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KELLY BROYLES-PEDERSON LMP
NPI 1508167719
Massage Therapist in Bellingham, WA

Active since November 04, 2010
11 BELLWETHER WAY SUITE 102, BELLINGHAM, WA 98225(360) 715-1050 Get Directions Write a Review

NPPES record last updated: February 6, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Broyles-pederson Lmp NPPES

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

KELLY BROYLES-PEDERSON LMP (NPI 1508167719) is an individual massage therapist in Bellingham, Washington, licensed in Washington (MA60099597) and active in the NPI registry since November 2010.

NPPES Registry Identity

NPI1508167719
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameKELLY BROYLES-PEDERSONCredential: LMP
Location Address11 BELLWETHER WAY SUITE 102Bellingham, WA 98225
Mailing Address11 Bellwether Way Suite 102Bellingham, WA 98225
Phone(360) 715-1050
Sole ProprietorNo
Enumeration DateNovember 4, 2010
Last NPPES UpdateFebruary 6, 2012
✔ NPI 1508167719 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 · MA60099597
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.
11 BELLWETHER WAY SUITE 102, Bellingham, WA 98225
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

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 Kelly Broyles-pederson's NPI number?

The NPI number for Kelly Broyles-pederson is 1508167719. It was assigned to this individual provider in the NPPES registry on November 4, 2010.

Where is Kelly Broyles-pederson located?

Kelly Broyles-pederson practices at 11 Bellwether Way Suite 102, Bellingham, WA 98225. The listed phone number is (360) 715-1050.

What is Kelly Broyles-pederson's specialty?

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

What insurance does Kelly Broyles-pederson accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Kelly Broyles-pederson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Broyles-pederson was last updated on February 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.