Individual provider · Type 1 NPI

Chad J. Needham, LMT

Massage Therapist · Sparta, WI

NPI number 1396379954 Active

Practice location

101 1/2 S Water St Lowr Unit
Sparta, WI 54656-1722

Mailing address

734 E Division St Apt 4
Sparta, WI 54656-1385

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X12814-146 (WI)

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 1396379954

Chad J. Needham, LMT's National Provider Identifier is 1396379954, issued on Feb 23, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Sparta, WI. The record was last updated on Feb 23, 2020.