Wanda Breighner, LMT
Individual provider Active NPI Massage Therapist · Mount Wolf, PA
NPI 1912473232 · NPPES record last updated Oct 15, 2018
Key facts
- NPI
- 1912473232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MSG0000694 (PA)
- Practice address
- 360 Silver Maple CT
Mount Wolf, PA 17347-8907 - Phone
- (717) 757-1957
- NPI assigned
- Oct 15, 2018
- Sex
- Female
- 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 |
|---|---|---|---|
| MSG0000694 | PA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MSG0000694 | PA | Yes |
Addresses
Primary practice location
360 Silver Maple CT
Mount Wolf, PA 17347-8907
Mailing address
360 Silver Maple CT
Mount Wolf, PA 17347-8907
Phone (717) 757-1957
Other providers in Mount Wolf, PA
- Amy Arruda
- Kaila Augustine
- Genevieve Louise Barchak
- Anisia Beatty
- Bien-Aise LLC
- Megan Elizabeth Church
- Susan Lynne Danner
- Aliya Decates-Miller
- Christine Deerin
- Hali Dekker
All providers in Mount Wolf, PA · Massage Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2018. 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.