Active NPIIndividual providerSole proprietor

Stewart Wild, LMT

Massage Therapist in Needham, Massachusetts

NPI Number1255643870
Practice location
150 A St, Needham, MA 02494-2807
Fax
—
Last updated
July 26, 2010

Stewart Wild is a Massage Therapist based in Needham, MA. Stewart Wild practices in Needham, MA and has the professional credentials of LMT. The NPI Number for Stewart Wild is 1255643870 and holds a License No. 3979 (MA). The current practice location address for Stewart Wild is 150 A St, Needham, MA 02494-2807 and can be reached out via phone at 781-444-3609.

Provider Profile Details

NPI Number
1255643870
Provider Name
Stewart Wild
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
150 A St, Needham, MA 02494-2807
Phone Number
781-444-3609
Primary Taxonomy
Massage Therapist · 225700000X
Sole Proprietor
Yes
Provider Enumeration Date
July 12, 2010
Last Update Date
July 26, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
150 A St
Needham, MA 02494-2807
Zip
02494-2807
Phone Number
781-444-3609
Needham, MA 02494Get directions →

Provider Business Mailing Address Details

Address
358 Ashland St
Holliston, MA 01746-1150
City
Holliston
State
MA
Zip
01746-1150

License Information

License Number
3979
License State
MA
Taxonomy
Massage Therapist · 225700000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Stewart Wild, LMT?

The NPI number of Stewart Wild, LMT is 1255643870. It was assigned on July 12, 2010 and is currently active in the NPPES registry.

What is the specialty of Stewart Wild, LMT?

Stewart Wild, LMT is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in MA under license number 3979.

Where does Stewart Wild, LMT practice?

The practice location is 150 A St, Needham, MA 02494-2807. The office can be reached at 781-444-3609 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255643870 directly on the NPPES registry website.

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