Brea Ann Wrzesinski, MA60771416

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60771416 Issued in WA

Practice address

9623 32ND St SE
Lake Stevens, WA 98258-5779

Phone

(360) 854-8547

NPI assigned

Nov 13, 2017

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

Other identifiers 1

Other names 1

• Brea Ann Wrzesinski Professional name

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": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510531200000",
    "number": "1649783622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3478",
            "address_2": "3609 168TH ST NE",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982233478",
            "telephone_number": "360-854-8547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9623 32ND ST SE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982585779",
            "telephone_number": "360-854-8547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRZESINSKI",
        "first_name": "BREA",
        "middle_name": "ANN",
        "credential": "MA60771416",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-13",
        "last_updated": "2017-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60771416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPY LICENSE",
            "identifier": "MA60771416",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BREA",
            "last_name": "WRZESINSKI",
            "middle_name": "ANN",
            "credential": "LMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Rodney Alan Windhorst, O.D.
• Caralee Lydia Wirth, B.A., M.S., CCC-SLP
• Vanessa R Wise, D.C.
• Wendy Ann Wolthausen, LMP
• Pryndana Wood, CBT, RBT
• Chris Zeh, RPH
• Jacob Donald Zehnder, LMT
• Amber Dawn Zier, LPN
• Patricia Duley Zimburean, MD
• Alma Zoto

• Massage Therapist in Lake Stevens, WA
• Providers in Lake Stevens, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; 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.