Doctor Name: | MR. DWIGHT L NIDA |
NPI Number: | 1083827588 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMT |
License Number: | 0620 |
Business Practice Address: | 337 4th Ave Huntington, WV - 257011223 |
Business Phone Number: | 3045230000 |
Business Fax Number: | 3045232422 |
Mailing Address: | 337 4th Ave, HUNTINGTON |
State: | WV |
Postal Code: | 257011223 |
Phone Number: | 3045230000 |
Fax Number: | 3045232422 |
NPI Enumeration Date: | 05/08/2007 |
NPI Last Update Date: | 10/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 0620 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy 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. |