NPI 1003770488 · live from the CMS NPI Registry
Siobhan Headman
Registered Nurse, Nurse Massage Therapist (NMT) in Wichita, KS. National Provider Identifier 1003770488, active.
NPI record
| NPI | 1003770488 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Nurse Massage Therapist (NMT) 163WM1400X |
| Practice location | 2600 N Woodlawn Blvd, Wichita, KS 67220 |
| Practice phone | 316-838-2883 |
| Mailing address | 1734 N Custer St, Wichita, KS 67203 |
| Enumerated | December 11, 2025 |
| Last updated | December 11, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Nurse Massage Therapist (NMT) primary | 163WM1400X | 159759 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.