RYAN WITHOLT LMT
NPI 1043690852
Massage Therapist in Las Vegas, NV
Active since June 05, 2015
About Ryan Witholt Lmt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RYAN WITHOLT LMT (NPI 1043690852) is an individual massage therapist in Las Vegas, Nevada, licensed in Nevada (3291) and active in the NPI registry since June 2015.
NPPES Registry Identity
NPI1043690852
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameRYAN WITHOLTCredential: LMT
Location Address4005 S EL CAPITAN WAYLas Vegas, NV 89147-3430
Mailing Address6222 Foothill BlvdLas Vegas, NV 89118-1455 · (702) 505-1494
Phone(170) 275-1600
Sole ProprietorYes
Enumeration DateJune 5, 2015
✔ NPI 1043690852 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in NV · 3291
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
4005 S EL CAPITAN WAY, Las Vegas, NV 89147
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043690852, enumerated as an "individual" on June 05, 2015.
The provider is located at 4005 S EL CAPITAN WAY LAS VEGAS, NV 89147 and the phone number is (170) 275-1600.
Massage Therapist with taxonomy code 225700000X.
