Kimberly Ann Nesbitt
Massage Therapist in Portland, OR. Individual provider (NPI-1).
NPI number1669960571
StatusActive
Last updated in NPPESApr 26, 2018
Details
- NPI
- 1669960571
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Ann Nesbitt
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 26, 2018
- Last updated
- Apr 26, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 24196 | OR | Yes |
Practice location
9391 Se 29th AvePortland, OR 97222-6401
Phone 810-841-8394
Mailing address
9391 Se 29th AvePortland, OR 97222-6401
Phone 810-841-8394
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