Paj Nyiag Vang

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

13702-146 Issued in WI

Practice address

9555 S Howell Ave Ste 700
Oak Creek, WI 53154-5000

Phone

(414) 676-2112

Fax

(414) 676-2122

NPI assigned

Aug 12, 2024

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

Practice roles

Locations

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.

• Live Oak Health

  • Acupuncturist
  • Oak Creek, WI
  • NPI 1285473389

  Massage Therapist

  NPD

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1972334043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9555 S HOWELL AVE STE 700",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531545000",
            "telephone_number": "414-676-2112",
            "fax_number": "414-676-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 S HOWELL AVE STE 700",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531545000",
            "telephone_number": "414-676-2112",
            "fax_number": "414-676-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANG",
        "first_name": "PAJ",
        "middle_name": "NYIAG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WI",
            "license": "13702-146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary James Valavanis, DPT
• Jolene R Vancaster
• Jacklyn Wendy Vanderheyden, APNP
• Melissa Vanderhoef
• Tinea Patricia Vanderwerff
• Vanish, LLC
• Alexandra Vega Lagares
• Anastasia E. Vega, SAC-IT
• Jessica Velazquez, LPC-IT
• Chad Venne, R.N.

• Massage Therapist in Oak Creek, WI
• Providers in Oak Creek, WI by specialty
• Massage Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.