Robert Wayne Fuller Jr., LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

2005017920 Issued in MO

Practice address

7211 NW 83Rd St Ste 207D
Kansas City, MO 64152-6022

Phone

(816) 482-1695

NPI assigned

Oct 22, 2020

Last updated

Jun 3, 2025By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1619576303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 STARFALL DR",
            "city": "CEDARCREEK",
            "state": "MO",
            "postal_code": "656274203",
            "telephone_number": "660-270-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 NW 83RD ST STE 207D",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641526022",
            "telephone_number": "816-482-1695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "ROBERT",
        "middle_name": "WAYNE",
        "name_suffix": "Jr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-22",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MO",
            "license": "2005017920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arlene Jean Fulcher, RT (R)(CT)
• Danielle Fulks
• David Frederick Fuller, M.D.
• Gabe Fuller
• Jordan S Fuller, PHD
• Katelynn S Fullmer, PLPC
• Nikcola Fulton
• Rachel Fulton
• Function Forward Physical Therapy LLC
• Functional Chiropractic

• Massage Therapist in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Massage Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.