IndividualActive
Bristol Witte, LMT, CCH
NPI 1861031510 · Massage Therapist · Fort Wayne, IN
Provider details
- NPI number
- 1861031510
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT, CCH
- Sex
- Female
- Sole proprietor
- No
- License
- MT21806580 (IN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3215 N Anthony Blvd Ste D
Fort Wayne, IN 46805-2259
Phone: (260) 704-2323
Approximate (ZIP-level) locationGet directions
Mailing address
6457 Flutter Rd
Fort Wayne, IN 46835-9720
Registry dates
- Enumerated
- 2019-12-29
- Last updated
- 2019-12-29
- Certified
- 2019-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.