Deborah A Withem, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7501016128 Issued in MI

Practice address

57424 Megan Dr
Washington TWP, MI 48094-3816

Phone

(586) 255-7471

NPI assigned

Feb 5, 2024

Sex

Female

Sole proprietor

Yes

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.

• KBT Pain Management & Recovery

  • Massage Therapist
  • Washington, MI
  • NPI 1437872892

  Single Specialty

  NPD

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1598528390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5980 MARINE PKWY APT H110",
            "city": "MENTOR ON THE LAKE",
            "state": "OH",
            "postal_code": "440608502",
            "telephone_number": "216-258-6146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57424 MEGAN DR",
            "city": "WASHINGTON TWP",
            "state": "MI",
            "postal_code": "480943816",
            "telephone_number": "586-255-7471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITHEM",
        "first_name": "DEBORAH",
        "middle_name": "A",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501016128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Vinckier, PT
• Deborah Weir, RPH
• Alexandra Wemyss, LMT
• Kimberly Wisniewski
• Jacob Paul Witer, D.M.D.
• Scott Allen Witinko, D.C.
• Erin Wycoff

• Massage Therapist in Washington TWP, MI
• Providers in Washington TWP, MI by specialty
• Massage Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.