NPI 1881215523 · live from the CMS NPI Registry
Cassidy Randleas, LMT
Massage Therapist in Wichita, KS. National Provider Identifier 1881215523, active.
NPI record
| NPI | 1881215523 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 10523 E 21st St N Ste 4, Wichita, KS 67206 |
| Practice phone | 785-764-2366 |
| Mailing address | 4520 E Douglas Ave, Wichita, KS 67208 |
| Enumerated | May 5, 2020 |
| Last updated | May 5, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 2021-46215 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.