Jessica Rae Wyatt, LMT

NPI #1033495338 in Avon Lake, Ohio

Provider Information

NPI Number: 1033495338
Entity Type: Individual
Name: Jessica Rae Wyatt, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Oct 31, 2011
Last Updated: Jul 9, 2018

Practice Location

Address: 690 AVON BELDEN RD STE 2C
City: Avon Lake
State: Ohio
ZIP Code: 44012
Phone: (440) 225-4555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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