Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRESSA DEE WEEDEN-BOOTZ, CMT, LMT
Deactivated Sole ProprietorMassage Therapist · CHASKA, MN
This NPI has been deactivated.
The record was deactivated on April 12, 2021.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1457963191
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 22, 2020 (0.63835616438356 yrs)
- Last Updated
- Mar 8, 2024
- Deactivated
- Apr 12, 2021
- Licenses
-
00000000 (MN)00000000 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
112 W 2ND STCHASKA, MN, 553182635Browse MN providers · Browse ZIP 55318
- Phone
- 9522205938
- Primary Specialty
-
Massage Therapist
225700000X
- Additional Specialty
- Neuromuscular Medicine
- Additional Specialty
- Massage Therapist
Other Massage Therapist Providers in CHASKA, MN
| Name | Credential | NPI |
|---|---|---|
| DR. WANDA SYNSTELIEN | LMT, RYT | 1225688203 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.