Individual provider · NPI-1
Wanda Marie Copp, Massage Therapist
Massage Therapist · Pittsburgh, PA
NPI number1760057806
StatusActive
Last updated in NPPESMay 21, 2021
Details
- NPI
- 1760057806
- Entity type
- Individual (NPI-1)
- Name
- Ms. Wanda Marie Copp
- Credential
- Massage Therapist
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 21, 2021
- Certification date
- May 6, 2021
- Last updated
- May 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MSG010449 | PA | Yes |
Practice location
101 Emerson Professional BuildingPittsburgh, PA 15215-3252
Phone 412-499-4592
Mailing address
558 Perry Hwy Fl 2Pittsburgh, PA 15229-1854
Phone 412-499-4592
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