NPI 1144950874 · live from the CMS NPI Registry
Caitlyn Danae Idleman, LMT
Massage Therapist in Wichita, KS. National Provider Identifier 1144950874, active.
NPI record
| NPI | 1144950874 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 520 S Holland Ln Ste 407, Wichita, KS 67209 |
| Practice phone | 316-737-0160 |
| Enumerated | June 15, 2022 |
| Last updated | June 15, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 43535 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.