Kellee Erin McCormick

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60637190 Issued in WA

Practice address

15 2ND St Ste 105
Wenatchee, WA 98801-3927

Phone

(509) 668-8297

NPI assigned

Jun 25, 2021

Last updated

Jun 25, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1114597861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 DOUGLAS ST",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012840",
            "telephone_number": "509-668-8297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 2ND ST STE 105",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988013927",
            "telephone_number": "509-668-8297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "KELLEE",
        "middle_name": "ERIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60637190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kelleemccormick@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15 2nd St Ste 105",
            "city": "Wenatchee",
            "state": "WA",
            "country_code": "US",
            "postal_code": "988013927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ellen McCleery, MD
• David McClees, R.PH.
• Donald Lyle McClune, MPT
• Jennie Ann McConnell, M.ED.
• Charles Calvin McCormick, MD
• Zoe McCormick, REGISTERED NURSE
• Chasity Marie McCrum
• Laura McCullough
• Brett R McDonald, LMHC
• Stacey Marie McDonald, DMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.