Maryellen Werstine, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7501004691 Issued in MI

Practice address

4670 Lakeshore Rd
Boyne City, MI 49712-9757

Phone

(885) 999-9287

NPI assigned

Dec 21, 2015

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

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": "1450656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450656000000",
    "number": "1235594078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11954 WOODVIEW TRL",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497358097",
            "telephone_number": "989-280-8683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4670 LAKESHORE RD",
            "city": "BOYNE CITY",
            "state": "MI",
            "postal_code": "497129757",
            "telephone_number": "885-999-9287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERSTINE",
        "first_name": "MARYELLEN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-21",
        "last_updated": "2015-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501004691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Thiel, MSW
• Jill Marie Valliere, MA, LPC, NCC
• Rebecca L Verville, LMSW
• Robert S Wedge, CRNA
• Andrea L Wendling, MD
• Malcolm James Wilson Jr., M.A. LPC
• Catherine A Wonski, MD
• Jessica Wright

• Massage Therapist in Boyne City, MI
• Providers in Boyne City, MI by specialty
• Massage Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; 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.