Stephen E Wells, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00022350 Issued in WA

Practice address

1605 W Garland Ave
Spokane, WA 99205-2620

Phone

(509) 444-8383

Fax

(509) 444-8385

NPI assigned

Jan 2, 2007

Sex

Male

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

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770640419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 W REGINA AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181947",
            "telephone_number": "509-444-8383",
            "fax_number": "509-444-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 W GARLAND AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992052620",
            "telephone_number": "509-444-8383",
            "fax_number": "509-444-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "STEPHEN",
        "middle_name": "E",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00022350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE LABOR & INDUSTRI",
            "identifier": "0214519",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colleen Elisabeth Wells, CARE COORDINATOR
• Derrick Adam Wells
• Frances Rose Wells, MOT, OTR/L
• Gillian Mary Wells
• Jennifer Michelle Wells, MS CCC SLP
• Katerina Welpton
• Samantha Kelly Welsch
• Chris J Welsh, AA, RN
• Jessemae Lynn Welsh, M.D.
• Sara Elisabeth Welty, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.