Active NPI
Torry Wild
- Massage Therapist
- Whitehall, MI
National Provider Identifier
1003661398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7501014226
- Practice address
- 432 E Spring St
Whitehall, MI 49461-1153 - Phone
- (231) 722-9622
- NPI assigned
- Apr 19, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | |||
| Massage Therapist | 225700000X | 7501014226 | MI | Primary |
Addresses
Primary practice location
432 E Spring St
Whitehall, MI 49461-1153
Mailing address
432 E Spring St
Whitehall, MI 49461-1153
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7501014226 | MI | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Muskegon Young Men'S Christian Association | Health Educator | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Educator
- Muskegon, MI
- NPI 1770033292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746662400000",
"number": "1003661398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "432 E SPRING ST",
"city": "WHITEHALL",
"state": "MI",
"postal_code": "494611153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "432 E SPRING ST",
"city": "WHITEHALL",
"state": "MI",
"postal_code": "494611153",
"telephone_number": "231-722-9622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILD",
"first_name": "TORRY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-04-19",
"last_updated": "2025-05-08",
"certification_date": "2025-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": "7501014226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whitehall, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.