Torry Wild
Massage Therapist in Whitehall, MI. Individual provider (NPI-1).
NPI number1003661398
StatusActive
Last updated in NPPESMay 8, 2025
Details
- NPI
- 1003661398
- Entity type
- Individual (NPI-1)
- Name
- Torry Wild
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 19, 2024
- Certification date
- May 8, 2025
- Last updated
- May 8, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 7501014226 | MI | Yes |
| 174H00000X | Health Educator | – | – |
Practice location
432 E Spring StWhitehall, MI 49461-1153
Phone 231-722-9622
Mailing address
432 E Spring StWhitehall, MI 49461-1153
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