NPI 1063820538 · live from the CMS NPI Registry
Therapeutic Massage Group And Equipment
Massage Therapist in Wichita, KS. National Provider Identifier 1063820538, active.
NPI record
| NPI | 1063820538 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 2504 E Glen Oaks Cir, Wichita, KS 67216 |
| Practice phone | 316-706-6965 |
| Mailing address | 10500 E Berkeley Square Pkwy, Suite 102, Wichita, KS 67206 |
| Enumerated | July 29, 2014 |
| Last updated | July 29, 2014 |
| Authorized official | Janet Kloes, Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | — (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.