Ralph Thomas Wiedmann, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT12086 Issued in SD

Practice address

2065 Campbell Dr
Huron, SD 57350-3446

Phone

(402) 705-2399

NPI assigned

Jul 8, 2025

Last updated

Jul 8, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1751932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1083504245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 S CAPITAL ST APT 5",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573014319",
            "telephone_number": "402-705-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2065 CAMPBELL DR",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573503446",
            "telephone_number": "402-705-2399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 S Miller Ave",
            "address_purpose": "LOCATION",
            "city": "Mitchell",
            "state": "SD",
            "postal_code": "573014110",
            "country_code": "US",
            "telephone_number": "402-705-2399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIEDMANN",
        "first_name": "RALPH",
        "middle_name": "THOMAS",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-08",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "SD",
            "license": "MT12086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Welch, DPT
• Rhonda Wellsandt-Zell, MS
• Kristin Wheeler, MA
• Gregory L Wiedel, M.D.
• Melita Wiedenman, M.S., R.D., L.N.
• William a Cahill DDS
• Bruce Dale Wintle, DDS
• Wise Imaging Inc (Huron Imaging)
• Women's Wellness Center, Prof. L.L.C.
• Amanda Wonnenberg

• Massage Therapist in Huron, SD
• Providers in Huron, SD by specialty
• Massage Therapist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.