NPI 1063827699 · live from the CMS NPI Registry
Deborah Wilson, PTA
Massage Therapist in Omaha, NE. National Provider Identifier 1063827699, active.
NPI record
| NPI | 1063827699 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 4951 Center St, Omaha, NE 68106 |
| Practice phone | 402-915-3201 |
| Mailing address | 12011 S 29th St, Bellevue, NE 68123 |
| Enumerated | June 23, 2014 |
| Last updated | May 11, 2018 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant | 225200000X | 1050 (NE) |
| Massage Therapist primary | 225700000X | 3343 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.