Jonathan Wilson

NPI #1194398669 in Bedford Heights, Ohio

Provider Information

NPI Number: 1194398669
Entity Type: Individual
Name: Jonathan Wilson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Jul 21, 2021
Last Updated: Jan 25, 2022

Practice Location

Address: 24365 ELDRIDGE BLVD
City: Bedford Heights
State: Ohio
ZIP Code: 44146-4009
Phone: (216) 258-9920

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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