Jennifer Lee Wilder Rieck, LMT

NPI #1528233061 in Dunnellon, Florida

Provider Information

NPI Number: 1528233061
Entity Type: Individual
Name: Jennifer Lee Wilder Rieck, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Apr 25, 2008
Last Updated: Apr 25, 2008

Practice Location

Address: 11943 N WILLIAMS ST STE B
City: Dunnellon
State: Florida
ZIP Code: 34432-8342
Phone: (352) 465-3686

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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