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SHAOYU WAN
NPI 1821685728
Massage Therapist in Fort Worth, TX

Active since December 25, 2020
1504 SMILAX AVE, FORT WORTH, TX 76111(682) 429-3480 Get Directions Write a Review

NPPES record last updated: December 25, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shaoyu Wan NPPES

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

SHAOYU WAN (NPI 1821685728) is an individual massage therapist in Fort Worth, Texas, licensed in Texas (MT124699) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1821685728
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameSHAOYU WAN
Location Address1504 SMILAX AVEFort Worth, TX 76111-1428
Mailing Address1504 Smilax AveFort Worth, TX 76111-1428 · (682) 429-3480
Phone(682) 429-3480
Sole ProprietorYes
Enumeration DateDecember 25, 2020
NPPES CertifiedDecember 25, 2020
✔ NPI 1821685728 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 TX · MT124699
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.
1504 SMILAX AVE, Fort Worth, TX 76111
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Other Names 1

Professional Name (2)Swan Wan

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 Shaoyu Wan's NPI number?

The NPI number for Shaoyu Wan is 1821685728. It was assigned to this individual provider in the NPPES registry on December 25, 2020. The provider is also known as Swan Wan.

Where is Shaoyu Wan located?

Shaoyu Wan practices at 1504 Smilax Ave, Fort Worth, TX 76111. The listed phone number is (682) 429-3480.

What is Shaoyu Wan'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 Shaoyu Wan was last updated on December 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.