Anneliese Wilson

NPI #1003049586 in Provo, Utah

Provider Information

NPI Number
1003049586
Entity Type
Individual
Name
Anneliese Wilson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Enumeration Date
Aug 31, 2009
Last Updated
Nov 22, 2020

Practice Location

Address
238 N UNIVERSITY AVE APT 16
City
Provo
State
Utah
ZIP Code
84601-2821
Phone
(801) 373-3484

Specialties & Taxonomy Codes

Specialty
Specialist
Massage Therapist

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