Healthcare Provider Details

I. General information

NPI: 1508760273
Provider Name (Legal Business Name): AMIE K KIEHN LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12515 MERIDIAN E STE 201
PUYALLUP WA
98373-3436
US

IV. Provider business mailing address

4305 158TH STREET CT E
TACOMA WA
98446-3079
US

V. Phone/Fax

Practice location:
  • Phone: 253-232-7942
  • Fax: 253-841-8526
Mailing address:
  • Phone: 253-355-0905
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMASS.MA.70182222
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: