Active NPI
Kristine Wigley, MT
- Massage Therapist
- Olympia, WA
National Provider Identifier
1396310165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA61166861
- Practice address
- 2805 Pacific Ave SE
Olympia, WA 98501-2038 - Phone
- (360) 791-6510
- NPI assigned
- May 25, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA61166861 | WA | Primary |
Addresses
Primary practice location
2805 Pacific Ave SE
Olympia, WA 98501-2038
Mailing address
7010 Tolmie Dr NE
Olympia, WA 98516-3128
Phone (360) 791-6510
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
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA61166861 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621900800000",
"number": "1396310165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7010 TOLMIE DR NE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985163128",
"telephone_number": "360-791-6510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2805 PACIFIC AVE SE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985012038",
"telephone_number": "360-791-6510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIGLEY",
"first_name": "KRISTINE",
"credential": "MT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-25",
"last_updated": "2021-05-25",
"certification_date": "2021-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA61166861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.