Individual provider · Type 1 NPI
Byron Wild, LMT
Massage Therapist · Washington, DC
NPI number
1760017545
Active
Practice location
914 15th St SE
Washington, DC 20003-3210
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 2588 (DC) |
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 1760017545
Byron Wild, LMT's National Provider Identifier is 1760017545, issued on Mar 11, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Washington, DC. The record was last updated on Mar 11, 2020.