Michelle L Simmons-Wolfgang, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00013624 Issued in WA

Practice address

542 N 5TH Ave
Sequim, WA 98382-3079

Phone

(360) 683-7911

Fax

(360) 683-3981

NPI assigned

Jun 20, 2008

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

• Sorensen Chiropractic LLC

  • Chiropractor
  • Sequim, WA
  • NPI 1366624835
  NPD (past)

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213920000000",
    "number": "1619138757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 N 5TH AVE",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823079",
            "telephone_number": "360-683-7911",
            "fax_number": "360-683-3981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 N 5TH AVE",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823079",
            "telephone_number": "360-683-7911",
            "fax_number": "360-683-3981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS-WOLFGANG",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-20",
        "last_updated": "2008-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00013624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andy Andreyevich Shimchuk
• Teresa Shiraishi, LICSW
• Mark Edward Sienko, M.D.
• Sight Partners Physicians, P.C.
• Elizabeth Inez Silva, LMSW, LSWAIC
• Sindie Sheeler Denture Clinic, LLC
• Alexandra Skogsdatter, DPT
• Jeanine C Sloane, M.A.
• Colin Eric Smemo, PTA
• Janine Lauren Smith, DC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.