Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407220916 Individual Practitioner Female Practitioner

Jackie Renee Kiser , MA

Massage Therapist • Longview, WA

Professional Overview & Biography Verified Profile Summary

Jackie Kiser, MA is a registered healthcare professional specializing in Massage Therapist in Longview, WA. Practice services are available at 820 OCEAN BEACH HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

820 Ocean Beach Hwy
Ste 116

Longview, WA 986324080

Telephone 3602003255
Associated Practice Facility / Clinic
🏢 Longview Eye & Vision Facility NPI 1861535197

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Longview, WA

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

Practicing in Longview, 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 MA 60513345

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

4 Associated Practitioners
Dr. Derrik Stark , DDS

Dentist - General Practice

NPI 1346574316

Doctor of Dental Surgery

NPI 1386878965

Doctor of Optometry

NPI 1508925405

Doctor of Optometry

NPI 1710046610

Doctor of Optometry

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 20, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location November 20, 2015

Registered at 820 OCEAN BEACH HWY, STE 116, LONGVIEW, WA 986324080 (Tel: 3602003255)

📍
Updated Business Mailing Address November 20, 2015

Registered at 626 20TH AVE, LONGVIEW, WA 986321520 (Tel: 5093109313)

👤
Provider Name / Credentials Updated November 20, 2015

Recorded as JACKIE KISER, MA 60513345

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2015

Massage Therapist (License #MA 60513345 in WA)

🟢
Initial NPI Registration & Enumeration November 20, 2015

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: 1407220916
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 20, 2015
Last Update: November 20, 2015
Sole Proprietor: Yes

Mailing Address

626 20th Ave

Longview, WA 986321520

Phone: 5093109313

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.