Ginnine Patrice Glauber-Wenisch, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00008986 Issued in WA

Practice address

22705 Meridian Ave E
Graham, WA 98338-7081

Phone

(253) 875-6400

NPI assigned

Mar 1, 2007

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

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.

• Southcreek Therapeutic Massage, Inc.

  • Massage Therapist
  • Graham, WA
  • NPI 1396952289
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538297320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53211 LILLIE DALE RD E",
            "city": "EATONVILLE",
            "state": "WA",
            "postal_code": "983287482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22705 MERIDIAN AVE E",
            "city": "GRAHAM",
            "state": "WA",
            "postal_code": "983387081",
            "telephone_number": "253-875-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAUBER-WENISCH",
        "first_name": "GINNINE",
        "middle_name": "PATRICE",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00008986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Joseph Garcia
• Irene N/a Garcia
• Rosa Delia Garcia I
• Trivia Marie Garcia
• Meri Taunya Gaston
• Brandon Rae Gonzales
• Megan Lachelle Goodfellow
• Shannon Michelle Gorrie, PT, DPT, ETC.
• Travis Edwin Gottschalk, MS, LMHC
• Debbra Gaye Gould, LMT, MMT

• Massage Therapist in Graham, WA
• Providers in Graham, 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 8, 2007; 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.