MISS Courtney Beth Wilson

NPI #1134620990 in Provo, Utah

Provider Information

NPI Number: 1134620990
Entity Type: Individual
Name: MISS Courtney Beth Wilson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Feb 26, 2018
Last Updated: Feb 26, 2018

Practice Location

Address: 363 N UNIVERSITY AVE STE 110
City: Provo
State: Utah
ZIP Code: 84601-8425
Phone: (801) 901-7330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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