Individual provider · Type 1 NPI
Kristin Jo Stillwagon
Nurse Massage Therapist (NMT) · Omaha, NE
NPI number
1619873296
Active
Practice location
4101 Woolworth Ave
Omaha, NE 68105-1850
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Massage Therapist (NMT) Primary | 163WM1400X | 69272 (NE) |
Nurse Massage Therapist (NMT): Definition to come...
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About NPI 1619873296
Kristin Jo Stillwagon's National Provider Identifier is 1619873296, issued on Oct 19, 2026. The primary taxonomy on file is Nurse Massage Therapist (NMT) (163WM1400X), and the practice location is in Omaha, NE. The record was last updated on Oct 19, 2026.