Individual provider Active NPI

Renee Marie Holwegner, LMT

  • Massage Therapist
  • Yakima, WA
National Provider Identifier
1063160075
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA61258833 Issued in WA
Practice address
3908 Creekside Loop Ste 110
Yakima, WA 98902-4858
Phone
(509) 952-8505
NPI assigned
Mar 17, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA61258833 WA Primary

Addresses

Primary practice location

3908 Creekside Loop Ste 110
Yakima, WA 98902-4858

Mailing address

1010 S 16TH Ave
Yakima, WA 98902-4260
Phone (509) 952-8505

Other practice location 1

1026 Beane Rd
Moxee, WA 98936-9750
Phone (509) 952-8505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA61258833WAMDMassage Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1063160075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 S 16TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989024260",
            "telephone_number": "509-952-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3908 CREEKSIDE LOOP STE 110",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989024858",
            "telephone_number": "509-952-8505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1026 Beane Rd",
            "address_purpose": "LOCATION",
            "city": "Moxee",
            "state": "WA",
            "postal_code": "989369750",
            "country_code": "US",
            "telephone_number": "509-952-8505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLWEGNER",
        "first_name": "RENEE",
        "middle_name": "MARIE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61258833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.