MS. KIMBERLY LYNN PRINE


Address: 103 Jalyn St, Centralia, WA 98531-1730
Phone: 3603885477

MS. KIMBERLY LYNN PRINE (NPI# 1396973400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396973400
Entity Type Individual
Full Name MS. KIMBERLY LYNN PRINE
Credential LMP
Practice Address 103 Jalyn St
Centralia
WA 98531-1730
Practice Telephone 3603885477
Mailing Telephone 3603885477
Enumeration Date 2009-06-26
Last Update Date 2009-06-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist MA60097045 WA Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 376K00000X Nurse's Aide NA00183242 WA Nursing Service Related Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA REGISTERED NURSING ASSISTANT NA00183242 01

Office Location

Street Address 103 JALYN ST
City CENTRALIA
State WA
Zip Code 98531-1730

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306462205 Jelisa Renae Thomas Counselor 3510 Steelhammer Ln, Centralia, WA 98531 2020-06-17
1205498607 Jennifer Kristine Mcglynn Paterno Counselor 2428 W. Reynods Ave, Centralia, WA 98531 2019-07-05
1538646328 Adam Jeffrey Moore Counselor 3510 Steelhammer Lane, Centralia, WA 98531 2018-07-24
1144706698 Euijeong Kim Occupational Therapist Rehabilitation Therapies, 914 S. Scheuber Rd, Centralia, WA 98531 2018-07-18
1104315266 Margaret Fowler Floyd Registered Nurse Centralia High School, 813 Eshom Road, Centralia, WA 98531 2018-05-04
1124545777 Samantha Michelle Moody Speech-Language Pathologist Centralia School District, 2320 Borst Ave, Centralia, WA 98531 2017-08-24
1821520289 Alexa Franks Behavior Technician 2428 West Reynolds Ave., Centralia, WA 98531 2017-04-03
1023559861 Brandy Michelle Peterson Counselor 135 W. Main Steet, Centralia, WA 98531 2017-03-13
1841738812 Graceful Healing Naturopathic Naturopath 219 N Tower Ave, Suite 304, Centralia, WA 98531 2017-02-09
1043681513 Angela Naillon Counselor 2428 West Reynolds, Centralia, WA 98531 2015-10-09
Find all providers in zip 98531

Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003475484 Rachel E Gothard-gollob Massage Therapist 500 W Main St Ste D, Centralia, WA 98531-4252 2019-06-10
1326575762 Tristyn Jay Massage Therapist 628 W Main St, Centralia, WA 98531-2845 2017-05-16
1770021214 Robert Yardley Massage Therapist 1325 E Mccord St, Centralia, IL 62801-3610 2017-02-04
1891232062 Andrea Huhta Massage Therapist 1014 N Scheuber Rd Apt 21, Centralia, WA 98531-1568 2017-01-26
1033565742 Rachael Nicole Smith Massage Therapist 1202 S Gold St, Centralia, WA 98531-3716 2016-05-11
1275995417 Elijah Maxwell Massage Therapist 1639 Kresky Ave, Centralia, WA 98531-8912 2016-03-27
1457758104 Karissa Ashley Steele Massage Therapist 1813 Harrison Ave, Centralia, WA 98531-1908 2014-11-24
1912205717 Danielle Lynn Caywood Massage Therapist 1405 Lewis St Apt 23, Centralia, WA 98531-1255 2011-03-03
1265686968 Patricia Ann Donoho Massage Therapist 109 N Park St, Centralia, IL 62801-2062 2008-11-07
1184874596 Tanja Gribble Massage Therapist 111 E Pine St, Centralia, WA 98531-4211 2008-09-22
Find all providers in CENTRALIA

Competitor

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City CENTRALIA
Zip Code 98531

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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