Individual provider · Type 1 NPI
Mandy Wyatt, LMT # 5693
Massage Therapist · Littleton, CO
NPI number
1053785188
Active
Practice location
8906 W Bowles Ave, Suite #110
Littleton, CO 80123-8606
Mailing address
PO Box 200624
Denver, CO 80220
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT.0005693 (CO) |
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 1053785188
Mandy Wyatt, LMT # 5693's National Provider Identifier is 1053785188, issued on Dec 1, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Littleton, CO. The record was last updated on Oct 7, 2016.