SearchDistrict of Columbia225700000X

Byron Wild, LMT

NPI 1760017545 · on the registry since 2020 · sole proprietor

Practice

Address
914 15th St Se
Washington, DC 20003
Phone
(646) 229-6763

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
DC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-03-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in District of Columbia