Wade Rio Wutschke, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

2500 Highway 88
Suite 219
St Anthony, MN 55418-4223

Phone

(612) 554-9390

NPI assigned

Apr 24, 2014

Last updated

Apr 24, 2014By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398297600000",
    "number": "1134549405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 3RD AVE NW",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551126840",
            "telephone_number": "612-554-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HIGHWAY 88",
            "address_2": "SUITE 219",
            "city": "ST ANTHONY",
            "state": "MN",
            "postal_code": "554184223",
            "telephone_number": "612-554-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUTSCHKE",
        "first_name": "WADE",
        "middle_name": "RIO",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-24",
        "last_updated": "2014-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hodan Ali Warsame
• John Washington
• Julia West, ATC
• Elizabeth Jane Whisney-Wilson
• Liesl Ann Wolf, DNP, APRN, CNP
• Safia Yassin
• Hamdi Mohamed Yussuf
• Nawal Yusuf
• Ubah Yusuf
• Zainab Yusuf

• Massage Therapist in St Anthony, MN
• Providers in St Anthony, MN by specialty
• Massage Therapist in Minnesota

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

Verify at the official NPI Registry.