Marisa Ellen Wunderlich, LMP

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA00025203 Issued in WA

Practice address

1002 1St St
Cheney, WA 99004-1708

Phone

(509) 475-1238

NPI assigned

Mar 10, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Marisa Ellen Anderson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Body Harmony Massage

  dba Body Harmony Masaage

  • Health Service Clinic/Center
  • Cheney, WA
  • NPI 1457522518
  NPD (past) Authorized official

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205107200000",
    "number": "1811167406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 1ST ST",
            "city": "CHENEY",
            "state": "WA",
            "postal_code": "990041708",
            "telephone_number": "509-475-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 1ST ST",
            "city": "CHENEY",
            "state": "WA",
            "postal_code": "990041708",
            "telephone_number": "509-475-1238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUNDERLICH",
        "first_name": "MARISA",
        "middle_name": "ELLEN",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00025203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISA",
            "last_name": "ANDERSON",
            "middle_name": "ELLEN",
            "credential": "LMP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Thomas F Whitfield, DDS
• Sarah M Wilhelm, MD
• Chaeli Anne Williams
• Tyler Douglas Wilson, RN
• Paige Leann Wiltse
• Yokes Foods Inc
• Irene Zavala, CPHT
• Zachary G. Zorrozua, LICSW

• Specialist in Cheney, WA
• Providers in Cheney, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.