Individual provider Active NPI

Kerri C Wetherell, LMP

  • Massage Therapist
  • Spokane Valley, WA
National Provider Identifier
1740315415
Registry record updated Dec 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00014339 Issued in WA
Practice address
9222 E Valleyway Ave Ste 101
Spokane Valley, WA 99206-6808
Phone
(509) 435-3662
NPI assigned
Feb 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA00014339 WA Primary

Addresses

Primary practice location

9222 E Valleyway Ave Ste 101
Spokane Valley, WA 99206-6808

Mailing address

9222 E Valleyway Ave Ste 101
Spokane Valley, WA 99206-6808
Phone (509) 435-3662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA00014339WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386547200000",
    "number": "1740315415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9222 E VALLEYWAY AVE STE 101",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066808",
            "telephone_number": "509-435-3662",
            "fax_number": "509-474-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9222 E VALLEYWAY AVE STE 101",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066808",
            "telephone_number": "509-435-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETHERELL",
        "first_name": "KERRI",
        "middle_name": "C",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2013-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00014339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; 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.