WILD MOSS WELLNESS LLC
NPI 1407607633
Massage Therapist in Portland, OR

Active since March 27, 2024
529 SE GRAND AVE STE 300D, PORTLAND, OR 97214(503) 410-3013 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wild Moss Wellness Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILD MOSS WELLNESS LLC (NPI 1407607633) is a healthcare organization registered as a massage therapist in Portland, Oregon and active in the NPI registry since March 2024. The organization lists Kiya Tenney, Owner, as its authorized official.

NPPES Registry Identity

NPI1407607633
Entity TypeOrganization
Primary Taxonomy225700000X
Legal Business NameWILD MOSS WELLNESS LLC
Location Address529 SE GRAND AVE STE 300DPortland, OR 97214-2232
Mailing Address529 Se Grand Ave Ste 300dPortland, OR 97214-2232
Organization SubpartNo
Authorized OfficialKiya TenneyOwner · (507) 676-3180
Enumeration DateMarch 27, 2024
NPPES CertifiedMarch 27, 2024
NPI 1407607633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
529 SE GRAND AVE STE 300D, Portland, OR 97214

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Massage Therapist
529 SE GRAND AVE STE 300D
PORTLAND, OR 97214

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wild Moss Wellness LLC's NPI number?

The NPI number for Wild Moss Wellness LLC is 1407607633. It was assigned to this organization in the NPPES registry on March 27, 2024.

Where is Wild Moss Wellness LLC located?

Wild Moss Wellness LLC is located at 529 SE Grand Ave Ste 300D, Portland, OR 97214. The listed phone number is (503) 410-3013.

What is Wild Moss Wellness LLC's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

What insurance does Wild Moss Wellness LLC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Wild Moss Wellness LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wild Moss Wellness LLC was last updated on March 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.