Chantel Marie Wilson, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00013633 Issued in WA

Practice address

10202 Pacific Ave S., Ste 215
Tacoma, WA 98444-6573

Phone

(253) 332-8997

Fax

(253) 531-8450

NPI assigned

Jan 18, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1295308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433203200000",
    "number": "1841595170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10202 PACIFIC AVE S., STE 215",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984446573",
            "telephone_number": "253-332-8997",
            "fax_number": "253-531-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10202 PACIFIC AVE S., STE 215",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984446573",
            "telephone_number": "253-332-8997",
            "fax_number": "253-531-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CHANTEL",
        "middle_name": "MARIE",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-18",
        "last_updated": "2015-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA 00013633",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00013633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Wilson, LMP
• Benjamin Thomas Wilson, MD
• Bruce A. Wilson, M.D.
• Bryan Wilson, MD
• Carl Wilson, B.A
• Cynthia L. Wilson
• David Wilson, MD
• Elisabeth Esmiol Wilson, LMFT
• Emily Lavis Wilson, PT, DPT
• Heather Suzanne Wilson, LMP

• Massage Therapist in Tacoma, WA
• Providers in Tacoma, 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 2, 2015; 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.