Tabitha J Wilder, LMT

NPI #1134873110 in Hillsboro, Oregon

Provider Information

NPI Number: 1134873110
Entity Type: Individual
Name: Tabitha J Wilder, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Feb 8, 2022
Last Updated: Feb 8, 2022

Practice Location

Address: 446 E MAIN ST STE A
City: Hillsboro
State: Oregon
ZIP Code: 97123-4187
Phone: (503) 713-8768

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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