Individual provider Active NPI

Wendy S Klebs, CMT

  • Massage Therapist
  • Saint Cloud, MN
National Provider Identifier
1770789059
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
2329 105TH Ave SE
Saint Cloud, MN 56304-9422
Phone
(320) 761-3671
NPI assigned
Jun 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

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 Primary

Addresses

Primary practice location

2329 105TH Ave SE
Saint Cloud, MN 56304-9422

Mailing address

2329 105TH Ave SE
Saint Cloud, MN 56304-9422
Phone (320) 761-3671

Other practice location 1

426 Elena Ln
Saint Joseph, MN 56374-4407
Phone (320) 281-0046

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

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1770789059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2329 105TH AVE SE",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563049422",
            "telephone_number": "320-761-3671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2329 105TH AVE SE",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563049422",
            "telephone_number": "320-761-3671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "426 Elena Ln",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MN",
            "postal_code": "563744407",
            "country_code": "US",
            "telephone_number": "320-281-0046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEBS",
        "first_name": "WENDY",
        "middle_name": "S",
        "credential": "CMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.