Robert J Wilson, LMT

NPI #1316503790 in Lincoln City, Oregon

Provider Information

NPI Number
1316503790
Entity Type
Individual
Name
Robert J Wilson, LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
LMT
Enumeration Date
May 11, 2019
Last Updated
May 11, 2019

Practice Location

Address
4783 SW HIGHWAY 101
State
Oregon
ZIP Code
97367-1564
Phone
(541) 994-1819

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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