Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | 118681 | TX |
N | 226300000X | Kinesiotherapist | 201073074 | CO |
NPI | 1093267510 |
---|---|
Provider Name | Rammell Nwaokai |
First Address | Dallas, TX 75240 |
Second Address | Dallas, TX 75240 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2016 |
Last Update Date | 01/11/2016 |