Teresa Ann Wenner
Individual provider Active NPI Nurse Massage Therapist (NMT) · Shepherdstown, WV
NPI 1871278747 · NPPES record last updated Jun 19, 2023
Key facts
- NPI
- 1871278747
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Massage Therapist (NMT) 163WM1400X
- License
- 53092 (WV)
- Practice address
- 217 S Duke St Ste 104
Shepherdstown, WV 25443-4849 - Phone
- (304) 362-3009
- NPI assigned
- Jun 19, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001149304 | VA | MD | Nurse Massage Therapist (NMT) |
| 53092 | WV | MD | Nurse Massage Therapist (NMT) |
| 0019019311 | VA | MD | Massage Therapist |
| 223-4023 | WV | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aanandha Well LLC | Massage Therapist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 223-4023 | WV | |
| Massage Therapist | 225700000X | 0019019311 | VA | |
| Nurse Massage Therapist (NMT) | 163WM1400X | 53092 | WV | Yes |
| Nurse Massage Therapist (NMT) | 163WM1400X | 0001149304 | VA | |
| Ambulatory Women's Health Care Registered Nurse | 163WW0101X | 53092 | WV |
Addresses
Primary practice location
217 S Duke St Ste 104
Shepherdstown, WV 25443-4849
Mailing address
158 Heath CT
Charles Town, WV 25414-4137
Phone (130) 427-9639
Other providers in Shepherdstown, WV
- Laura Waggoner
- Walgreen Co
- Walgreen Co.
- Charice Washington
- Denzel Washington
- Ashley Wertman
- West Virginia University Medical Corporation
- West Virginia University Medical Corporation
- West Virginia University Medical Corporation
- Tim L Whetzel
All providers in Shepherdstown, WV · Nurse Massage Therapist (NMT) in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.