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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TASHA BYNUM, CNC, IHP, LMT

Active Sole Proprietor

TASHA BYNUM, CNC, IHP, LMT is a Massage Therapist healthcare provider located in WATERLOO, Wisconsin. NPI 1477347839 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · WATERLOO, WI

Registration Details

NPI Number
1477347839
Provider Type
Individual
Gender
Female
NPI Issued
Apr 8, 2025 (1.3769790391932 yrs)
Last Updated
Apr 8, 2025
License
5067-146 (WI)
Sole Proprietor
Yes

Practice Information

Address
N7010 KROGHVILLE RD
WATERLOO, WI, 535949429
Browse WI providers · Browse ZIP 53594
Phone
6085200067
Primary Specialty
Massage Therapist
225700000X
Additional Specialty
Massage Therapist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.