MEDICARE: AMY KIM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	95212

General Provider Information

NPI Number	:	1225967482
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY KIM

Provider Business Mailing Address
First Line	:	2001 UNION ST STE 440
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94123-4109
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2001 UNION ST STE 440
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94123-4109
Country	:	US
Telephone Number	:	415-523-9367
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2026
Last Update Date	:	05/14/2026

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Directions to “ AMY KIM ” Practice Location

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