NPI 1033764303

Olivia Pine

Practitioner Massage Therapist Wichita, KS

Practice location

Address: 834 N Socora St STE 1, Wichita, KS 67212-3279
Phone: (316) 440-3731
Fax: (316) 440-3741
Mailing address: 200 W Douglas Ave STE 1040, Wichita, KS 67202-3017

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X

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Registry record

NPI: 1033764303
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Aug 2019
Record last updated: 5 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.