Organization Active NPI

Keira Widmer

  • Massage Therapist
  • Tempe, AZ
National Provider Identifier
1710008206
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT03104P Issued in AZ
Legal business name
KEIRA WIDMER
Doing business as
Seed Center for Wellness
Practice address
5440 S Lakeshore Dr
Suite 101
Tempe, AZ 85283-2101
Phone
(480) 628-8089
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Keira Widmer, LMT, CST, RYT
Title
Owner
Phone
(480) 628-8089

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MT03104P AZ Primary

Addresses

Primary practice location

5440 S Lakeshore Dr
Suite 101
Tempe, AZ 85283-2101

Mailing address

PO Box 10667
Tempe, AZ 85284-0012
Phone (480) 628-8089

Other names 1

  • Seed Center for Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

5440 S Lakeshore Dr
Ste 101
Tempe, AZ 85283
Phone (480) 612-1176

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710008206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10667",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852840012",
            "telephone_number": "480-628-8089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 S LAKESHORE DR",
            "address_2": "SUITE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852832101",
            "telephone_number": "480-628-8089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEIRA WIDMER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WIDMER",
        "authorized_official_first_name": "KEIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-628-8089",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT, CST, RYT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT03104P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seed Center for Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.