Wishing Well Clinic & Spa, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

WISHING WELL CLINIC & SPA, LLC

Practice address

153 E, Spring Street
St Marys, OH 45885

Phone

(419) 394-1402

NPI assigned

Sep 26, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Kendra E. Ferrall, LMT

Title

Owner

Phone

(419) 394-1402

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569456000000",
    "number": "1124679519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 E. AUGLAIZE",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "45895",
            "telephone_number": "419-394-1402",
            "fax_number": "419-394-3597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 E, SPRING STREET",
            "city": "ST MARYS",
            "state": "OH",
            "postal_code": "45885",
            "telephone_number": "419-394-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISHING WELL CLINIC & SPA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-26",
        "status": "A",
        "authorized_official_last_name": "FERRALL",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-394-1402",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas D Wilson, PT
• Clarinda Yvette Wine
• Douglas J Wine, OD
• Jalyn Yvette Wine, STNA
• Susan Marie Wiseman, R.D., L.D.
• Jessica Jean Wuebker, APRN-CNP
• Thomas Joseph Zegarski, MD
• Katherine T. Zwiebel, CNP

• Massage Therapist in St Marys, OH
• Providers in St Marys, OH by specialty
• Massage Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.