Kristina Wilbraham

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT110421 Issued in TX

Practice address

21 Spurs LN
Suite 246 & 320
San Antonio, TX 78240-1669

Phone

(210) 487-7463

NPI assigned

Jan 3, 2014

Last updated

Jan 3, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388707200000",
    "number": "1609297043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5554 CHRISTINA PATH",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782476611",
            "telephone_number": "210-687-5912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 SPURS LN",
            "address_2": "SUITE 246 & 320",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401669",
            "telephone_number": "210-487-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBRAHAM",
        "first_name": "KRISTINA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-03",
        "last_updated": "2014-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT110421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amadea Jocelyn Wijayanto, DDS
• Wilbea Medical Equipment LLC (Wilbea Medical Equipment)
• Judith J Wilber, MD
• Ronald Thomas Wilber, P.A.
• Maxine Wilborn, LPC, PHD
• Wilbur S. Avant, Jr.,M.D.,P.a.
• Melissa Wilbur-Carrera
• Matthew Wilbur
• Amanda Lauren Wilburn
• Gina Violeta Wilburn

• Massage Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.