Individual provider Active NPI

Kyrie Edwards, LICENSED MASSAGE THE

  • Massage Therapist
  • Eau Claire, WI
National Provider Identifier
1386501815
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
15086146 Issued in WI
Practice address
307 S Farwell St Ste 203
Eau Claire, WI 54701-1701
Phone
(715) 797-0707
NPI assigned
Jan 7, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 15086146 WI Primary

Addresses

Primary practice location

307 S Farwell St Ste 203
Eau Claire, WI 54701-1701

Mailing address

W1459 265TH Ave
Plum City, WI 54761-8803
Phone (715) 797-0707

Other practice location 1

308 3rd Ave W
Durand, WI 54736-1135
Phone (715) 797-0707

Other names 1

  • Kyrie Paquette Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15086146WIMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1767744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1386501815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W1459 265TH AVE",
            "city": "PLUM CITY",
            "state": "WI",
            "postal_code": "547618803",
            "telephone_number": "715-797-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S FARWELL ST STE 203",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547011701",
            "telephone_number": "715-797-0707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "308 3rd Ave W",
            "address_purpose": "LOCATION",
            "city": "Durand",
            "state": "WI",
            "postal_code": "547361135",
            "country_code": "US",
            "telephone_number": "715-797-0707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "KYRIE",
        "credential": "LICENSED MASSAGE THE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-07",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WI",
            "license": "15086146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYRIE",
            "last_name": "PAQUETTE",
            "credential": "LICENSED MASSAGE THE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.