Active NPI
Kelsey Weiland LMP
- Exclusive Provider Organization
- Gig Harbor, WA
National Provider Identifier
1972959112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- License
- MA60096383
- Legal business name
- KELSEY WEILAND LMP
- Practice address
- 5358 33Rd Ave NW
Gig Harbor, WA 98335-1773 - Phone
- (253) 853-7580
- NPI assigned
- May 6, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelsey M Weiland, LMP
- Title
- Massage Therapist
- Phone
- (360) 742-4328
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | MA60096383 | WA | Primary |
Addresses
Primary practice location
5358 33Rd Ave NW
Gig Harbor, WA 98335-1773
Mailing address
11117 149TH Ave CT KPN
Gig Harbor, WA 98329
National Provider Directory
National Provider DirectoryLocations
5358 33rd Ave
Gig Harbor, WA 98335
Phone (253) 853-7580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462492800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1462492800000",
"number": "1972959112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11117 149TH AVE CT KPN",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "98329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5358 33RD AVE NW",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983351773",
"telephone_number": "253-853-7580"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KELSEY WEILAND LMP",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-06",
"last_updated": "2016-05-06",
"status": "A",
"authorized_official_last_name": "WEILAND",
"authorized_official_first_name": "KELSEY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "MASSAGE THERAPIST",
"authorized_official_telephone_number": "360-742-4328",
"authorized_official_credential": "LMP"
},
"taxonomies": [
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": "WA",
"license": "MA60096383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gig Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.