KIMBERLY RENEE ELLIS MT
NPI 1841368313
Massage Therapist in Bowling Green, KY

Q: What is the provider's specialty?

The provider's specialty is Massage Therapist with taxonomy code 225700000X.

Active since December 01, 2006

1110 WILKINSON TRCE, BOWLING GREEN, KY 42103(270) 796-6850(270) 781-8228 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kimberly Renee Ellis Mt NPPES

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

KIMBERLY RENEE ELLIS MT (NPI 1841368313) is an individual massage therapist in Bowling Green, Kentucky, licensed in Kentucky (0062) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1841368313

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameKIMBERLY RENEE ELLISCredential: MT

Location Address1110 WILKINSON TRCEBowling Green, KY 42103-3402

Mailing AddressPo Box 641268Cincinnati, OH 45264-0304 · (270) 745-1120 · Fax (270) 745-1156

Phone(270) 796-6850

Fax(270) 781-8228

Sole ProprietorNo

Enumeration DateDecember 1, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1841368313 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 KY · 0062

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.

1110 WILKINSON TRCE, Bowling Green, KY 42103

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