Kelsey Lynne Wiig Weinberg, MA61244752

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61244752 Issued in WA

Practice address

1920 Main St Ste 14C
Ferndale, WA 98248-9472

Phone

(360) 366-8398

Fax

(360) 922-6101

NPI assigned

Jan 24, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1083366769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 MAIN ST STE 14C",
            "city": "FERNDALE",
            "state": "WA",
            "postal_code": "982489472",
            "telephone_number": "360-366-8398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 MAIN ST STE 14C",
            "city": "FERNDALE",
            "state": "WA",
            "postal_code": "982489472",
            "telephone_number": "360-366-8398",
            "fax_number": "360-922-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINBERG",
        "first_name": "KELSEY",
        "middle_name": "LYNNE WIIG",
        "credential": "MA61244752",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61244752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@satorihealingmassage.com",
            "affiliation": "N",
            "address_1": "1920 Main St Ste 14C",
            "city": "Ferndale",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982489472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Walgreen Co
• Brook Edward Walker, O.D.
• Washington CVS Pharmacy LLC
• Diane Weber
• Megan Noelle Weber, CBT
• James Weinert, RPH
• Whatcom County Fire District No 17
• Whatcom County Fire Protection District No 7
• Dawn Anett Whittington, LMT
• Kathy Wilbur, ICCE

• Massage Therapist in Ferndale, WA
• Providers in Ferndale, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.