NPI 1033764303 · live from the CMS NPI Registry
Olivia Pine
Massage Therapist in Wichita, KS. National Provider Identifier 1033764303, active.
NPI record
| NPI | 1033764303 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 834 N Socora St Ste 1, Wichita, KS 67212 |
| Practice phone | 316-440-3731 |
| Mailing address | 200 W Douglas Ave Ste 1040, Wichita, KS 67202 |
| Enumerated | August 5, 2019 |
| Last updated | August 5, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.