Martha B Lewis, OTHER
Individual provider Active NPI Health & Wellness Coach · Wilson, WY
NPI 1497549752 · NPPES record last updated Apr 9, 2025
Key facts
- NPI
- 1497549752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Health & Wellness Coach 171400000X
- Practice address
- 3994 Hawthorne LN
Wilson, WY 83014-9195 - Phone
- (307) 690-1502
- NPI assigned
- Apr 9, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | Yes |
Addresses
Primary practice location
3994 Hawthorne LN
Wilson, WY 83014-9195
Mailing address
3994 Hawthorne LN
Wilson, WY 83014-9195
Phone (307) 690-1502
Other providers in Wilson, WY
- Amanda Howell
- Jackson Hole Physical Therapy, PC
- Jill Oja-Johnson
- McKenzie Jean Kirkpatrick
- Keith Ryan Knudson
- Nina Clark Lex
- Sally L Luke
- Richard Lundeen
- Maurice Keith Mader
- Mark Matthew Neimat, MD LLC
All providers in Wilson, WY · Health & Wellness Coach in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2025. 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.