Active NPI
Wesley Emrys Erickson, LMT
- Massage Therapist
- Shelton, WA
National Provider Identifier
1003725334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MASS.MA.70167359
- Practice address
- 61 E Tahuya Dr
Shelton, WA 98584-9055 - Phone
- (425) 780-7895
- NPI assigned
- Sep 2, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MASS.MA.70167359 | WA | Primary |
Addresses
Primary practice location
61 E Tahuya Dr
Shelton, WA 98584-9055
Mailing address
61 E Tahuya Dr
Shelton, WA 98584-9055
Phone (425) 780-7895
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MASS.MA.70167359 | Other | WA | WA STATE MASSAGE THERAPY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1003725334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 E TAHUYA DR",
"city": "SHELTON",
"state": "WA",
"postal_code": "985849055",
"telephone_number": "425-780-7895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 E TAHUYA DR",
"city": "SHELTON",
"state": "WA",
"postal_code": "985849055",
"telephone_number": "425-780-7895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERICKSON",
"first_name": "WESLEY",
"middle_name": "EMRYS",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-02",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MASS.MA.70167359",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA STATE MASSAGE THERAPY LICENSE",
"identifier": "MASS.MA.70167359",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shelton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.