Active NPI
Kendra Wien, L.M.T.
- Massage Therapist
- Greenville, SC
National Provider Identifier
1437560992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MAS.8066
- Practice address
- 875 W Faris Rd
Greenville, SC 29605-4254 - Phone
- (864) 455-4231
- NPI assigned
- May 17, 2014
- 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 | MAS.8066 | SC | Primary |
Addresses
Primary practice location
875 W Faris Rd
Greenville, SC 29605-4254
Mailing address
109 Odessa Dr
Easley, SC 29640-7389
Phone (606) 669-5947
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
| License | State | Type | Specialty |
|---|---|---|---|
| MAS.8066 | SC | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427932800000",
"number": "1437560992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 ODESSA DR",
"city": "EASLEY",
"state": "SC",
"postal_code": "296407389",
"telephone_number": "606-669-5947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 W FARIS RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054254",
"telephone_number": "864-455-4231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIEN",
"first_name": "KENDRA",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-17",
"last_updated": "2015-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "SC",
"license": "MAS.8066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.