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

Kip L Wilson, LMPLMT

Individual provider Massage Therapist · NPI 1811102122

Kip L Wilson, LMPLMT is a Massage Therapist in Vancouver, Washington. Licensed in Oregon and Washington. Registered with an NPI since 2007.

Licensed in
OR, WA
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

2417 Broadway St
Vancouver, WA 98663
Phone: (360) 694-0157
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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 MA00019015 (WA)
Massage Therapist Taxonomy 225700000X · Licence 11195 (OR)

Record details

NPI number1811102122
Entity typeIndividual (Type 1)
GenderMale
Credentials LMPLMT
Sole proprietorNo
NPI enumeratedMay 11, 2007
Last updated in NPPESJuly 8, 2007

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