Healthcare Provider Details

I. General information

NPI: 1073431854
Provider Name (Legal Business Name): DONALD GEORGE WOLFKILL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 WARRENDALE BAYNE RD
WEXFORD PA
15090-7494
US

IV. Provider business mailing address

1010 WARRENDALE BAYNE RD
WEXFORD PA
15090-7494
US

V. Phone/Fax

Practice location:
  • Phone: 412-596-5888
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMSG008673
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: