Wolfgang Kuno Alexander Nechtan, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

3305 Main St Ste 100
Vancouver, WA 98663-2234

Phone

(360) 693-8064

NPI assigned

Oct 7, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Timothy Lee Alexander Welborn Former name

Electronic endpoints 3

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": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1275174526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 MAIN ST STE 100",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986632234",
            "telephone_number": "360-693-8064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 MAIN ST STE 100",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986632234",
            "telephone_number": "360-693-8064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NECHTAN",
        "first_name": "WOLFGANG",
        "middle_name": "KUNO ALEXANDER",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-07",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "MA60433612",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "trina.richards@zenaptic.com",
            "affiliation": "Y",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3021 NE 72nd Dr Ste 15",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986617300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "frontdesk@trinatural.com",
            "affiliation": "N",
            "address_1": "3305 Main St Ste 100",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986632234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "frontdesk@trinaturalhealthcare.com",
            "affiliation": "N",
            "address_1": "3305 Main St Ste 100",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986632234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TIMOTHY",
            "last_name": "WELBORN",
            "middle_name": "LEE ALEXANDER",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Logan McKenzie Neal, AGNP-C
• Matti Neal
• Nadene Marie Neale, ND
• Molly K Nearman, MS
• Pidge Nechak
• Mariana Nedelcu
• Rachel J Neer
• Lois S Neet, BS, PT
• Josephine Neff
• Rachel Laurell Negrete-Lopez, LMP

• Massage Therapist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.