Mary Kay Weikel, LMT
Massage Therapist in North Bend, OR. Individual provider (NPI-1).
NPI number1295045052
StatusActive
Last updated in NPPESOct 14, 2010
Details
- NPI
- 1295045052
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Mary Kay Weikel
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 14, 2010
- Last updated
- Oct 14, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 16629 | OR | Yes |
Practice location
3229 Broadway St Suite G Serenity Therapy CenterNorth Bend, OR 97459
Phone 541-751-7979
Mailing address
3229 Broadway St Suite G Serenity Therapy CenterNorth Bend, OR 97459
Phone 541-751-7979
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