MEDICARE: KATHRYN MAY HINKLE CMP

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	100574	CA

General Provider Information

NPI Number	:	1295693869
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN MAY HINKLE CMP

Provider Business Mailing Address
First Line	:	PO BOX 7938
Second Line	:
City	:	TAHOE CITY
State	:	CA
Zip	:	96145-7938
Country	:	US
Telephone Number	:	530-205-5850
Fax Number	:

Provider Business Practice Location Address
First Line	:	405 N LKE BLVD
Second Line	:	SUITE 204
City	:	TAHOE CITY
State	:	CA
Zip	:	96145-7938
Country	:	US
Telephone Number	:	530-205-5850
Fax Number	:

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

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

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Directions to “ KATHRYN MAY HINKLE CMP” Practice Location

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