Individual provider Active NPI

Katelyn Grace Jesienouski

  • Massage Therapist
  • Liberty Lake, WA
National Provider Identifier
1831042522
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA7008643 Issued in WA
Practice address
23403 E Mission Ave Ste 228
Liberty Lake, WA 99019-5113
Phone
(509) 645-2721
NPI assigned
Feb 20, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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 MA7008643 WA Primary

Addresses

Primary practice location

23403 E Mission Ave Ste 228
Liberty Lake, WA 99019-5113

Mailing address

1212 N Etta CT
Liberty Lake, WA 99019-9520
Phone (509) 645-2721

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
MA7008643WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arrowleaf Family Chiropractic, PLLC PastSince Aug 27, 2023 Accepting new patients
Kinetic Chiropractic LLC PastSince Dec 24, 2023 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1771545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1831042522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 N ETTA CT",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990199520",
            "telephone_number": "509-645-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23403 E MISSION AVE STE 228",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990195113",
            "telephone_number": "509-645-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESIENOUSKI",
        "first_name": "KATELYN",
        "middle_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-20",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA7008643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; 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.