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

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: August 09, 2026.

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
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

Other Identifiers 3

MedicaidGROUP #91011148KY
Medicare ID-Type UnspecifiedGROUP #184501KY
Other1760411342KY · Npi Group

Other Providers at the Same Location NPPES 19

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

Clinic/Center (Adult Day Care)
1110 WILKINSON TRCE
BOWLING GREEN, KY 42103
Physical Therapy Assistant
1110 WILKINSON TRCE
BOWLING GREEN, KY 42103
Internal Medicine
1110 WILKINSON TRCE
BOWLING GREEN, KY 42103
Occupational Therapy Assistant
1110 WILKINSON TRCE
BOWLING GREEN, KY 42103
Physical Therapist
1110 WILKINSON TRCE, SUITE 1
BOWLING GREEN, KY 42103
Speech-Language Pathologist
1110 WILKINSON TRCE
BOWLING GREEN, KY 42103
Clinic/Center (Corporate Health)
1110 WILKINSON TRCE
BOWLING GREEN, KY 42103
Physical Therapy Assistant
1110 WILKINSON TRCE
BOWLING GREEN, KY 42103

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 Ellis's NPI number?

The NPI number for Kimberly Ellis is 1841368313. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is Kimberly Ellis located?

Kimberly Ellis practices at 1110 Wilkinson Trce, Bowling Green, KY 42103. The listed phone number is (270) 796-6850.

What is Kimberly Ellis'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 Ellis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.