Healthcare Provider Details

I. General information

NPI: 1134054232
Provider Name (Legal Business Name): KATELYN ROSE ROBINSON LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 S PARKWAY AVE
BATTLE GROUND WA
98604-9294
US

IV. Provider business mailing address

113 S PARKWAY AVE
BATTLE GROUND WA
98604-9294
US

V. Phone/Fax

Practice location:
  • Phone: 360-687-1781
  • Fax:
Mailing address:
  • Phone: 360-687-1781
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMASS.MA.70127597
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: