Active NPI
Kathryn Elisabeth Waldo
- Massage Therapist
- Russellville, AR
National Provider Identifier
1902741556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 8941
- Practice address
- 213 E 4TH St
Russellville, AR 72801-5133 - Phone
- (479) 317-2894
- NPI assigned
- Apr 21, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 8941 | AR | Primary |
Addresses
Primary practice location
213 E 4TH St
Russellville, AR 72801-5133
Mailing address
213 E 4TH St
Russellville, AR 72801-5133
Phone (479) 317-2894
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8941 | AR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1902741556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 E 4TH ST",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728015133",
"telephone_number": "479-317-2894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 E 4TH ST",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728015133",
"telephone_number": "479-317-2894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDO",
"first_name": "KATHRYN",
"middle_name": "ELISABETH",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-21",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AR",
"license": "8941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Russellville, AR
- Robert Edward Vogler, M.S.P.T.
- Meagan Votteler
- W. Bruce Brown MD, PA. (Arkansas Orthopaedic Center)
- Mary Wade
- Wal-Mart Stores, Inc. (Vision Center 30-0058)
- Brett A Waldon, MS, ATC, LAT, CSCS
- Stacy Waldron, PHARMD
- Walgreen Co (Walgreens #10199)
- Walgreen Co (Walgreens # 15243)
- Bethany Ann Walker, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.