Tasha Bynum, CNC, IHP, LMT
NPI 1477347839ActiveIndividual· Massage Therapist· Waterloo, WI
Massage Therapist (CNC, IHP, LMT) in Waterloo, Wisconsin, licensed in WI, with an NPI issued in April 2025.
Overview
| NPI | 1477347839 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CNC, IHP, LMT |
| Sole proprietor | Yes |
| NPI issued | Apr 8, 2025 |
| Last updated in NPPES | Apr 8, 2025 |
| Certified by provider | Apr 8, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Massage Therapist Primary | 225700000X | 5067-146 | WI |
| Nutritionist | 133N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|