An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Specialist | 174400000X |
| Dental Therapist | 125J00000X | |
| Oral Medicinist | 125Q00000X | |
| Physical Therapist | 225100000X |
* Indicates primary specialty
| NPI Number | 1538540414 |
| Credentials | OMT COM |
| Entity | Individual |
| Enumeration date | 06/16/2015 |
| Last updated | 07/21/2022 - About 4 years ago |
| Sole proprietor1 | Yes |
| Identifiers |
|
| Hospital affiliation | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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