NPI 1760017545 · live from the CMS NPI Registry
Byron Wild, LMT
Massage Therapist in Washington, DC. National Provider Identifier 1760017545, active.
NPI record
| NPI | 1760017545 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 914 15th St Se, Washington, DC 20003 |
| Practice phone | 646-229-6763 |
| Enumerated | March 11, 2020 |
| Last updated | March 11, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 2588 (DC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.