Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly Renee Blackwell, LMT

Individual provider Massage Therapist · NPI 1164120903

Kimberly Renee Blackwell, LMT is a Massage Therapist in Winlock, Washington. Licensed in Washington. Registered with an NPI since 2023.

Licensed in
WA
In the registry since
2023
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

308 NE First St
Winlock, WA 98596
Phone: (360) 762-8501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 61395788 (WA)

Record details

NPI number1164120903
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorNo
NPI enumeratedFebruary 21, 2023
Last updated in NPPESFebruary 21, 2023
Certification dateFebruary 17, 2023

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