Organization Active NPI

Weathered Wellness LLC

  • Massage Therapist
  • Lebanon, MO
National Provider Identifier
1255270997
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
WEATHERED WELLNESS LLC
Practice address
30445 Orchard Dr
Lebanon, MO 65536-5077
Phone
(417) 650-6521
NPI assigned
Mar 27, 2026
Last updated
Mar 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Authorized official

Name
Amanda Shute
Title
Massage Therapist
Phone
(417) 650-6521

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X Primary

Addresses

Primary practice location

30445 Orchard Dr
Lebanon, MO 65536-5077

Mailing address

30445 Orchard Dr
Lebanon, MO 65536-5077

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1774569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774569600000",
    "number": "1255270997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30445 ORCHARD DR",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655365077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30445 ORCHARD DR",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655365077",
            "telephone_number": "417-650-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEATHERED WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-27",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A",
        "authorized_official_last_name": "SHUTE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "417-650-6521"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; 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.