PHOENIX WISNER MT NPI 1740019694

NPI Information

  • NPI: 1740019694
  • Provider Name: PHOENIX WISNER, MT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 10500 WAKEMAN DR STE 500
    FREDERICKSBURG, VA
    ZIP 22407
  • Phone: (540) 785-7888

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NPI Details

Phoenix Wisner, MT is a massage therapist in Fredericksburg, VA. The provider is 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. Phoenix Wisner, MT NPI is 1740019694. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10500 WAKEMAN DR STE 500
FREDERICKSBURG, VA
ZIP 22407-014
Phone: (540) 785-7888

The enumeration date for this NPI number is 7/30/2024 and was last updated on 7/30/2024.

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
1225700000XMassage Therapist0019019873VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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