Wesley A Martusewicz

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA.61514891 Issued in WA

Practice address

604 S Diamond St
Centralia, WA 98531-3818

Phone

(360) 506-2021

NPI assigned

Apr 12, 2024

Sex

Unspecified or another gender identity

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

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

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1639923162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 S DIAMOND ST",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985313818",
            "telephone_number": "360-506-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 S DIAMOND ST",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985313818",
            "telephone_number": "360-506-2021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1412 Yelm Ave E Ste C101",
            "address_purpose": "LOCATION",
            "city": "Yelm",
            "state": "WA",
            "postal_code": "985978328",
            "country_code": "US",
            "telephone_number": "360-458-7533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTUSEWICZ",
        "first_name": "WESLEY",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA.61514891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy Domingo Marshall
• Sierra C Martin, BA, R-AAC
• Melisa Martinez-Munoz
• Hilary Martinez Jr., BS, AAC
• Magaly Martinez
• Lisa Marie Mason, MA, CCC-SLP
• Jacob John Massarelli, PA-C
• Fredrick L Masters, CRNA
• Kathy Joy Matson, LPN
• Lora Lee Mattox, CPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.