Kelly Jo Webster

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60043180 Issued in WA

Practice address

4610 S 73Rd St
Tacoma, WA 98409-1417

Phone

(253) 426-3763

NPI assigned

Jul 19, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Knead Massage Therapy, PLLC

  • Massage Therapist
  • Steilacoom, WA
  • NPI 1962200212
  NPD Authorized official

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1467005397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 S 73RD ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984091417",
            "telephone_number": "253-426-3763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 S 73RD ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984091417",
            "telephone_number": "253-426-3763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "KELLY JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-19",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60043180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Leigh Weber, LMHC, ATR-BC
• Megan Marie Weber, MHCA
• Peter Vincent Weber, D.O.
• Vernon A Weber Sr., DC
• James P Webster, S.T.D.
• Kristina Webster
• Laura Bentley Webster, D.BE, RN
• Suzanne R Webster, COTA/L
• Taylor Webster
• Thomas Andrew Webster, M.D.

• Massage Therapist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; 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.