Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 132700000X | Dietary Manager | | | | No |
| 2 | 133N00000X | Nutritionist | | | | No |
| 3 | 224Z00000X | Occupational Therapy Assistant | | | | No |
| 4 | 225100000X | Physical Therapist | | | | No |
| 5 | 2255A2300X | Specialist/Technologist | Athletic Trainer | | | No |
| 6 | 225700000X | Massage Therapist | | | | No |
| 7 | 225X00000X | Occupational Therapist | | | | No |
| 8 | 174H00000X | Health Educator | | | | No |
| 9 | 171400000X | Health and Wellness Coach | | | | Yes |
| 10 | 226000000X | Recreational Therapist Assistant | | | | No |