Kejona Wheeler, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61255339 Issued in WA

Practice address

1508 Broadway St
Vancouver, WA 98663-3434

Phone

(360) 635-3477

NPI assigned

Sep 16, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• At Vancouver Massage, LLC

  • Massage Therapist
  • Vancouver, WA
  • NPI 1164926374
  NPD

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1912734989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10514 NE 7TH ST APT A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986644479",
            "telephone_number": "206-880-6913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 BROADWAY ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633434",
            "telephone_number": "360-635-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "KEJONA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61255339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie M Wheaton, ARNP
• Noah Wheelen, CBT
• Wheeler Services, Inc. Dba: Rivercrest Treatment Center
• Joyce Lee Wheeler, P.T.
• Kathryn Costello Wheeler
• Robert Vern Wheeler, CDP. NCACII, SAP
• Vania Dorneles Wheeler, CNA
• When the Shoe Fits, LLC
• When the Shoe Fits, LLC
• Whipple Creek Senior Estate, LLC

• Massage Therapist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.