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Active NPI 1831383736 Individual Practitioner Female Practitioner

Khore D Phoenix , BS, LMP

Massage Therapist • Ferndale, WA

Professional Overview & Biography Verified Profile Summary

Khore Phoenix, BS, LMP is a registered healthcare professional specializing in Massage Therapist in Ferndale, WA. Practice services are available at 2376 MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2376 Main St
Suite 3

Ferndale, WA 982488605

Telephone 3603842900
Fax 3603842955
Associated Practice Facility / Clinic
🏢 London Health Center, Inc Facility NPI 1033385125

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Ferndale, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.3 Yrs
Regional Practice Density
41 Specialists

Practicing in Ferndale, WA (13385 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License WA MA000098105

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
NPI 1356600142

Doctor of Naturopathic Medicine, LM, CPM

NPI 1427548791

Licensed Massage Therapist

Jennifer Gagnon , LMP

Massage Therapist

NPI 1487821328

Licensed Massage Practitioner

NPI 1518332501

Doctor of Naturopathic Medicine

NPI 1568634202

NDLM

NPI 1578721098

Master of Science, Licensed Acupuncturist, Licensed Massage Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 23, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location December 23, 2011

Registered at 2376 MAIN ST, SUITE 3, FERNDALE, WA 982488605 (Tel: 3603842900)

📍
Updated Business Mailing Address December 23, 2011

Registered at 2376 MAIN ST, SUITE 3, FERNDALE, WA 982488605 (Tel: 3603842900)

👤
Provider Name / Credentials Updated December 23, 2011

Recorded as KHORE PHOENIX, BS, LMP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 23, 2011

Massage Therapist (License #MA000098105 in WA)

🟢
Initial NPI Registration & Enumeration September 04, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831383736
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 04, 2007
Last Update: December 23, 2011
Sole Proprietor: Yes

Mailing Address

2376 Main St, Suite 3

Ferndale, WA 982488605

Phone: 3603842900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.