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NPI Code Detail

MEDICARE: KRISTY THOM

MEDICARE: KRISTY THOM
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
1163WM1400XNurse Massage Therapist (NMT)RN001162339WA

General Provider Information

NPI Number : 1427987254
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTY THOM
Provider Business Mailing Address
First Line : 7474 NOON RD
Second Line :
City : LYNDEN
State : WA
Zip : 98264-9434
Country : US
Telephone Number : 360-788-8211
Fax Number :
Provider Business Practice Location Address
First Line : 3301 SQUALICUM PKWY
Second Line :
City : BELLINGHAM
State : WA
Zip : 98225-1919
Country : US
Telephone Number : 360-788-8211
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2026
Last Update Date : 05/18/2026

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Directions to “ KRISTY THOM ” Practice Location

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