Phillip James Adamczyk, L.M.T.
Individual provider Active NPI Massage Therapist · Townsend, WI
NPI 1326429010 · NPPES record last updated Jun 18, 2015
Key facts
- NPI
- 1326429010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 11858-146 (WI)
- Practice address
- 17250 Brookside CT
Townsend, WI 54175-9622 - Phone
- (715) 276-6650
- NPI assigned
- Jun 18, 2015
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11858-146 | WI | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 11858-146 | WI | Yes |
Addresses
Primary practice location
17250 Brookside CT
Townsend, WI 54175-9622
Mailing address
17250 Brookside CT
Townsend, WI 54175-9622
Phone (715) 276-6650
Other providers in Townsend, WI
All providers in Townsend, WI · Massage Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.