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BYRON WILD LMT
NPI 1760017545
Massage Therapist in Washington, DC

Active since March 11, 2020
914 15TH ST SE, WASHINGTON, DC 20003(646) 229-6763 Get Directions Write a Review

NPPES record last updated: March 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Byron Wild Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BYRON WILD LMT (NPI 1760017545) is an individual massage therapist in Washington, District Of Columbia, licensed in District Of Columbia (2588) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1760017545
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameBYRON WILDCredential: LMT
Location Address914 15TH ST SEWashington, DC 20003-3210
Mailing Address914 15th St SeWashington, DC 20003-3210 · (646) 229-6763
Phone(646) 229-6763
Sole ProprietorYes
Enumeration DateMarch 11, 2020
NPPES CertifiedMarch 11, 2020
✔ NPI 1760017545 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 DC · 2588
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.
914 15TH ST SE, Washington, DC 20003
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Byron Wild's NPI number?

The NPI number for Byron Wild is 1760017545. It was assigned to this individual provider in the NPPES registry on March 11, 2020.

Where is Byron Wild located?

Byron Wild practices at 914 15th St SE, Washington, DC 20003. The listed phone number is (646) 229-6763.

What is Byron Wild's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Byron Wild was last updated on March 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.