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KENNEDY JEAN WESENBERG LMT
NPI 1467210765
Massage Therapist in Graham, WA

Active since March 11, 2024
21707 103RD AVENUE CT E STE B201, GRAHAM, WA 98338(253) 847-7517(253) 847-7467 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kennedy Jean Wesenberg Lmt NPPES

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

KENNEDY JEAN WESENBERG LMT (NPI 1467210765) is an individual massage therapist in Graham, Washington, licensed in Washington (MA61512646) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1467210765
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameKENNEDY JEAN WESENBERGCredential: LMT
Location Address21707 103RD AVENUE CT E STE B201Graham, WA 98338-8308
Mailing Address4529 Ridgewest Dr ELake Tapps, WA 98391-9183 · (253) 691-6752
Phone(253) 847-7517
Fax(253) 847-7467
Sole ProprietorNo
Enumeration DateMarch 11, 2024
NPPES CertifiedMarch 11, 2024
✔ NPI 1467210765 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
License✔ Licensed in WA · MA61512646
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.
21707 103RD AVENUE CT E STE B201, Graham, WA 98338
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Other Names 1

Former Name (1)Kennedy Jean Hansen Lmt

Other Providers at the Same Location NPPES 3

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

MCMULLIN FAMILY CHIROPRACTIC, PLLC
Chiropractor
21707 103RD AVENUE CT E STE B201
GRAHAM, WA 98338
Pierce County (253) 847-7517
MICHAEL DAVID MCMULLIN LMP
Massage Therapist
21707 103RD AVENUE CT E STE B201
GRAHAM, WA 98338
Pierce County (406) 212-5080
TENNILLE BERNARD DC
Chiropractor
21707 103RD AVENUE CT E STE B201
GRAHAM, WA 98338
Pierce County (253) 847-7517

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 Kennedy Wesenberg's NPI number?

The NPI number for Kennedy Wesenberg is 1467210765. It was assigned to this individual provider in the NPPES registry on March 11, 2024. The provider is also known as Kennedy Jean Hansen Lmt.

Where is Kennedy Wesenberg located?

Kennedy Wesenberg practices at 21707 103rd Avenue Ct E Ste B201, Graham, WA 98338. The listed phone number is (253) 847-7517.

What is Kennedy Wesenberg's specialty?

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

When was this NPI record last updated?

The NPPES record for Kennedy Wesenberg was last updated on March 11, 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.