Katie Lee Weaver, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MAS-2956 Issued in ID

Practice address

1624 E Seltice Way
Post Falls, ID 83854-7022

Phone

(208) 777-0128

NPI assigned

Dec 15, 2020

Last updated

Dec 16, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hardison-Walz PC

  dba Mountain View Chiropractic

  • Chiropractor
  • Post Falls, ID
  • NPI 1861682353
  NPD

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1255927067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 E SELTICE WAY",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838547022",
            "telephone_number": "208-777-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 E SELTICE WAY",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838547022",
            "telephone_number": "208-777-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "KATIE",
        "middle_name": "LEE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-15",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ID",
            "license": "MAS-2956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUREAU OF OCCUPATIONAL LICENSE",
            "identifier": "MAS-2956",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luke Mark Walton, PA-C
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• Brooklyn Sarah Webb
• Clarke B Webb, CRNA
• Derrick Jay Webb, DPT
• Miranda Lynn Weber, DDS
• Amber Weingart, OT

• Massage Therapist in Post Falls, ID
• Providers in Post Falls, ID by specialty
• Massage Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.