Individual provider Active NPI

Katie Weso, LMT

  • Massage Therapist
  • Green Bay, WI
National Provider Identifier
1447724562
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
14633-146 Issued in WI
Practice address
2830 Curry CT Ste 3
Green Bay, WI 54311-4877
Phone
(920) 395-4841
Fax
(920) 301-6442
NPI assigned
Jan 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 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 14633-146 WI Primary

Addresses

Primary practice location

2830 Curry CT Ste 3
Green Bay, WI 54311-4877

Mailing address

2830 Curry CT Ste 3
Green Bay, WI 54311-4877
Phone (920) 395-4841

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
14633-146WIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elbow Grease Massage Studio Inc Massage Therapist CurrentSince Oct 1, 2021 Accepting new patients

Locations

1671 Hoffman Rd
Unit 100A
Green Bay, WI 54311

2830 Curry Ct
Ste 3
Green Bay, WI 54311
Phone (920) 395-4841

Organizations & group practices 1

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": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1447724562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 CURRY CT STE 3",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543114877",
            "telephone_number": "920-395-4841",
            "fax_number": "920-301-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 CURRY CT STE 3",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543114877",
            "telephone_number": "920-395-4841",
            "fax_number": "920-301-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESO",
        "first_name": "KATIE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-11",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WI",
            "license": "14633-146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.