Amanda Marie Willert, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60867966 Issued in WA

Practice address

1760 Newport Way NW
Issaquah, WA 98027-5354

Phone

(425) 998-6542

NPI assigned

Jun 18, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amanda Marie Denker Former 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": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529280000000",
    "number": "1770077265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 ISSAQUAH PINE LAKE RD SE APT Q6",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980756221",
            "telephone_number": "612-220-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 NEWPORT WAY NW",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275354",
            "telephone_number": "425-998-6542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLERT",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2018-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60867966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "DENKER",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Whole Health Chiropractic Center
• Lidia Wiersum
• Jennifer L. Wilde, DPT
• Pamela Wilensky, LMFT
• Lani Wilhite, RPH
• Brittany Willey, PHD
• Nathan Douglas Williams, PA-C
• Natalie Willits, LAC
• Natasha Ann Wills, ARNP
• Anna Wilson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; 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.