DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIERAN JOSEPH MCMANIMON, LMP

Active Sole Proprietor

KIERAN JOSEPH MCMANIMON, LMP is a Massage Therapist healthcare provider located in LAKE FOREST PARK, Washington. NPI 1891075917 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · LAKE FOREST PARK, WA

Registration Details

NPI Number
1891075917
Provider Type
Individual
Gender
Male
NPI Issued
Aug 20, 2011 (14.968413607765 yrs)
Last Updated
Aug 31, 2018
License
MA60228942 (WA)
Sole Proprietor
Yes

Practice Information

Address
18724 35TH AVE NE
LAKE FOREST PARK, WA, 98155
Browse WA providers · Browse ZIP 98155
Phone
2063641481
Fax
8442917711
Primary Specialty
Massage Therapist
225700000X

Other Massage Therapist Providers in LAKE FOREST PARK, WA

Name Credential NPI
MS. CHRISTINE ULRIKE CHMIELEWSKI LMP 1447299870
MS. KATHLEEN DIANE NIELSON LICENSED MASSAGE PRA 1073689980
MARILYN ALICE OVERCAST LMT 1932247343
CHRISTINE A. ANGEL LMP 1053646356
MS. REBECCA ANNE PAIGE L.M.P. 1043540289
MELISSA CAREY 1487029393
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.