Provider Demographics
NPI:1811587470
Name:HAMILTON-MCMARTIN, KRISTIE M (LMT)
Entity Type:Individual
Prefix:
First Name:KRISTIE
Middle Name:M
Last Name:HAMILTON-MCMARTIN
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3005 VIEWCREST DR NE
Mailing Address - Street 2:
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98310-9740
Mailing Address - Country:US
Mailing Address - Phone:360-550-2581
Mailing Address - Fax:
Practice Address - Street 1:532 5TH ST STE 2
Practice Address - Street 2:
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98337-1403
Practice Address - Country:US
Practice Address - Phone:360-550-2581
Practice Address - Fax:360-377-4111
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-19
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA61126303225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist