Individual provider · Type 1 NPI
Shayle Wines
Nurse Massage Therapist (NMT) · Idaho Falls, ID
NPI number
1093635724
Active
Practice location
554 Trails End
Idaho Falls, ID 83402-1286
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Massage Therapist (NMT) Primary | 163WM1400X | 44730 (WY) |
Nurse Massage Therapist (NMT): Definition to come...
About NPI 1093635724
Shayle Wines's National Provider Identifier is 1093635724, issued on Jul 21, 2026. The primary taxonomy on file is Nurse Massage Therapist (NMT) (163WM1400X), and the practice location is in Idaho Falls, ID. The record was last updated on Jul 21, 2026.