Kimberly Delise Woolfolk, MASSAGE THERAPIST

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT20900909 Issued in IN

Practice address

2123 Braeburn East Dr
Indianapolis, IN 46219-2582

Phone

(463) 201-2042

NPI assigned

Sep 30, 2025

Last updated

Sep 30, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Selah Massage Wellness Other name

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": "1759190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1912871427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 BRAEBURN EAST DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462192582",
            "telephone_number": "463-201-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 BRAEBURN EAST DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462192582",
            "telephone_number": "463-201-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLFOLK",
        "first_name": "KIMBERLY",
        "middle_name": "DELISE",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-30",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IN",
            "license": "MT20900909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SELAH",
            "last_name": "WELLNESS",
            "middle_name": "MASSAGE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Robin R Woody, MSED, MFT
• Zmorea Woody, RBT
• Carl William Wooldridge, D.O.
• Jazmine Woolen
• Creola L Woolery, PT, DPT
• Elizabeth Woolley
• Kaitlin Michelle Woolley
• James Woolner
• Kara K Wools-Kaloustian, M.D.
• Austin Tyler Wooten, PHARMD

• Massage Therapist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Massage Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.