Individual provider Active NPI

Wesley C Foote, LMT

  • Massage Therapist
  • Lacey, WA
National Provider Identifier
1417645698
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA61348149 Issued in WA
Practice address
4525 Intelco Loop SE
Lacey, WA 98503-5941
Phone
(360) 438-6425
Fax
(360) 923-9382
NPI assigned
Apr 26, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA61348149 WA Primary

Addresses

Primary practice location

4525 Intelco Loop SE
Lacey, WA 98503-5941

Mailing address

4525 Intelco Loop SE
Lacey, WA 98503-5941
Phone (360) 438-6425

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
MA61348149WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Derrick Family Chiropractic, Inc. CurrentSince Jun 24, 2025 Accepting new patients
Sweet Chiropractic Inc PS PastSince Apr 30, 2023 Accepting new patients

Locations

4525 Intelco Loop SE
Olympia, WA 98503
Phone (360) 438-6425

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1417645698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 INTELCO LOOP SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985035941",
            "telephone_number": "360-438-6425",
            "fax_number": "360-923-9382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 INTELCO LOOP SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985035941",
            "telephone_number": "360-438-6425",
            "fax_number": "360-923-9382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOOTE",
        "first_name": "WESLEY",
        "middle_name": "C",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61348149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.