Jennifer Marie Kosharek, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61392883 Issued in WA

Practice address

381 S Market Blvd
Chehalis, WA 98532-3041

Phone

(425) 202-5210

NPI assigned

Nov 20, 2023

Last updated

Nov 20, 2023By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fitspa, LLC

  dba The Well

  • Massage Therapist
  • Chehalis, WA
  • NPI 1346846839
  NPD
• Medical Massage Inc

  • Massage Therapist
  • Centralia, WA
  • NPI 1902115371
  NPD (past)

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1467227520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 S MARKET BLVD",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985323041",
            "telephone_number": "425-202-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 S MARKET BLVD",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985323041",
            "telephone_number": "425-202-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSHAREK",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61392883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esther Laura Kittle, MD
• Ranjith Kolli
• Demetri George Kollias, PHARM.D.
• Michelle Kolpin, LCSW
• Michael Koplin, AAC
• Marylynne Kostick, IBCLC, CD/PCD(DONA)
• Travis Kuest, CP 60819455
• Kelly Baskin Kugel, OTR/L
• L G Steck Memorial Clinic P S (Steck Medical Group)
• L-Cam Corporation

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.