Angel Lynn Wossum, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

107549 Issued in KY

Practice address

7100 Dixie Hwy Ste C
Florence, KY 41042-2098

Phone

(859) 283-1990

NPI assigned

Feb 2, 2012

Last updated

Feb 27, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1328140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1720350085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10624 SUNNYS HALO CT",
            "city": "UNION",
            "state": "KY",
            "postal_code": "410917141",
            "telephone_number": "859-630-6537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 DIXIE HWY STE C",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410422098",
            "telephone_number": "859-283-1990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10624 Sunnys Halo Ct",
            "address_purpose": "LOCATION",
            "city": "Union",
            "state": "KY",
            "postal_code": "410917141",
            "country_code": "US",
            "telephone_number": "859-630-6537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOSSUM",
        "first_name": "ANGEL",
        "middle_name": "LYNN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-02",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "KY",
            "license": "KY-0030",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "KY",
            "license": "107549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Florence, KY
• Providers in Florence, KY by specialty
• Massage Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.