NPI 1336059658 · live from the CMS NPI Registry
Kimberly Bazemore
Massage Therapist in Rockville, MD. National Provider Identifier 1336059658, active.
NPI record
| NPI | 1336059658 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 1170 Rockville Pike, Rockville, MD 20852 |
| Practice phone | 301-641-9907 |
| Mailing address | 14053 Byrne Park Dr, Clarksburg, MD 20871 |
| Enumerated | September 9, 2026 |
| Last updated | September 9, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | M06330 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.