Individual provider · Type 1 NPI

Ryan Witholt, LMT

Massage Therapist · Las Vegas, NV

NPI number 1043690852 Active

Practice location

4005 S El Capitan Way
Las Vegas, NV 89147-3430

Call (170) 275-1600 Map

Mailing address

6222 Foothill Blvd
Las Vegas, NV 89118-1455

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X3291 (NV)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1043690852

Ryan Witholt, LMT's National Provider Identifier is 1043690852, issued on Jun 5, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Las Vegas, NV. The record was last updated on Jun 5, 2015.