Active NPI
Wanda Karen Perry, CR, LMT, CMM
- Massage Therapist
- Clinton, LA
National Provider Identifier
1124430103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 3985
- Practice address
- 12357 Haynes St.
Clinton, LA 70722-3717 - Phone
- (985) 507-7617
- NPI assigned
- May 27, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reflexologist | 173C00000X | |||
| Massage Therapist | 225700000X | 3985 | LA | Primary |
Addresses
Primary practice location
12357 Haynes St.
Clinton, LA 70722-3717
Mailing address
PO Box 663
Greensburg, LA 70441-0663
Phone (985) 507-7617
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3985 | LA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401148800000",
"number": "1124430103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 663",
"city": "GREENSBURG",
"state": "LA",
"postal_code": "704410663",
"telephone_number": "985-507-7617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12357 HAYNES ST.",
"city": "CLINTON",
"state": "LA",
"postal_code": "707223717",
"telephone_number": "985-507-7617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "WANDA",
"middle_name": "KAREN",
"credential": "CR, LMT, CMM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-27",
"last_updated": "2014-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "173C00000X",
"taxonomy_group": "",
"desc": "Reflexologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "LA",
"license": "3985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton, LA
- Shannon B Norris, LMSW
- Althea Palmisano, LSW
- Kathleen Parnell, RN
- Shenita L Paynes, APRN
- Rikki Hudson Permenter, PH.D., LPC-S,LMFT
- Taylor Tynes Priest, RN
- Primary Care Providers for a Healthy Feliciana Inc
- Primary Care Providers for a Healthy Feliciana, Inc
- Primary Care Providers for a Healthy Feliciana, Inc.
- Primary Care Providers for a Healthy Feliciana, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.