NPI 1154937894 · live from the CMS NPI Registry
Wayne Archer
Massage Therapist in Brooklyn, NY. National Provider Identifier 1154937894, active.
NPI record
| NPI | 1154937894 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 2065 E 57th St, Brooklyn, NY 11234 |
| Practice phone | 718-313-8206 |
| Enumerated | September 18, 2020 |
| Last updated | September 18, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 030505-1 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.