MRS. Jeannette Elise Wilcox, CMT

NPI #1225278112 in Ponderay, Idaho

Provider Information

NPI Number: 1225278112
Entity Type: Individual
Name: MRS. Jeannette Elise Wilcox, CMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: CMT
Enumeration Date: Mar 4, 2009
Last Updated: May 15, 2024

Practice Location

Address: 30410 HIGHWAY 200 UNIT 100
City: Ponderay
State: Idaho
ZIP Code: 83852-9601
Phone: (208) 263-3211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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