Landon Wiedenman, M.T.

NPI #1497059190 in Jackson, Wyoming

Provider Information

NPI Number
1497059190
Entity Type
Individual
Name
Landon Wiedenman, M.T.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
M.T.
Enumeration Date
Jan 10, 2011
Last Updated
Jan 10, 2011

Practice Location

Address
220 E. BROADWAY
State
Wyoming
ZIP Code
83001
Phone
(307) 413-8949

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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