Provider Demographics
NPI:1427226729
Name:NASH-WENINGER, CELESST (NCTMB, LMT)
Entity Type:Individual
Prefix:MRS
First Name:CELESST
Middle Name:
Last Name:NASH-WENINGER
Suffix:
Gender:F
Credentials:NCTMB, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11620 E SAHUARO DR
Mailing Address - Street 2:APT 2054
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85259-3164
Mailing Address - Country:US
Mailing Address - Phone:248-425-4776
Mailing Address - Fax:
Practice Address - Street 1:11620 E SAHUARO DR
Practice Address - Street 2:APT 2054
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85259-3164
Practice Address - Country:US
Practice Address - Phone:248-425-4776
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-20
Last Update Date:2010-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZMT-14305OtherMASSAGE LICENSE