MEDICARE: MR. DWIGHT L NIDA 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	225700000X	Massage Therapist	0620	WV

General Provider Information

NPI Number	:	1083827588
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DWIGHT L NIDA LMT

Provider Business Mailing Address
First Line	:	337 4TH AVE
Second Line	:
City	:	HUNTINGTON
State	:	WV
Zip	:	25701-1223
Country	:	US
Telephone Number	:	304-523-0000
Fax Number	:	304-523-2422

Provider Business Practice Location Address
First Line	:	337 4TH AVE
Second Line	:
City	:	HUNTINGTON
State	:	WV
Zip	:	25701-1223
Country	:	US
Telephone Number	:	304-523-0000
Fax Number	:	304-523-2422

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

Provider Enumeration Date	:	05/08/2007
Last Update Date	:	10/21/2008

Similar Medicare Providers

1598846222 — SAFE RX PHARMACIES INC
Practice Location Address:

335 4TH AVE
HUNTINGTON, WV
25701-1223

Practice Phone: 304-522-0435
Practice Fax: 304-522-0437

1477763647 — MISS KELLY FLORENCE REMUS L.M.T.
Practice Location Address:

337 4TH AVE
HUNTINGTON, WV
25701-1223

Practice Phone: 304-634-9997
Practice Fax:

1760006407 — TEN UP MINISTRIES, INC
Practice Location Address:

335 4TH AVE
HUNTINGTON, WV
25701-1223

Practice Phone: 304-419-7252
Practice Fax: 855-888-9316

1023620820 — NETTIE NADINE JUDD
Practice Location Address:

4011 AUBURN RD
HUNTINGTON, WV
25704-1223

Practice Phone: 304-544-3251
Practice Fax:

1396638409 — TAREKA MASHA GRAY
Practice Location Address:

1223 1/2 JACKSON AVE
HUNTINGTON, WV
25704

Practice Phone: 304-733-1094
Practice Fax:

1578496527 — JULIA LILLY
Practice Location Address:

744 4TH AVE STE 2
HUNTINGTON, WV
25701-1541

Practice Phone: 304-691-0873
Practice Fax: 304-955-9057

Directions to “ MR. DWIGHT L NIDA LMT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.