Stewart Wild, LMT

NPI #1255643870 in Needham, Massachusetts

Provider Information

NPI Number: 1255643870
Entity Type: Individual
Name: Stewart Wild, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jul 12, 2010
Last Updated: Jul 26, 2010

Practice Location

Address: 150 A ST
City: Needham
State: Massachusetts
ZIP Code: 02494-2807
Phone: (781) 444-3609

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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