MEDICARE: WAYNE ADAMIEC LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172M00000X	Mechanotherapist	MT112935	TX

General Provider Information

NPI Number	:	1043567779
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WAYNE ADAMIEC LMT

Provider Business Mailing Address
First Line	:	6812 FAIR MEADOWS DR
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76182-7611
Country	:	US
Telephone Number	:	817-657-7827
Fax Number	:	866-801-2988

Provider Business Practice Location Address
First Line	:	6812 FAIR MEADOWS DR
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76182-7611
Country	:	US
Telephone Number	:	817-657-7827
Fax Number	:	866-801-2988

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2012
Last Update Date	:	08/13/2012

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