Erricka D Wilson, LMT

NPI #1598497851 in Fountain, Colorado

Provider Information

NPI Number: 1598497851
Entity Type: Individual
Name: Erricka D Wilson, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jun 27, 2022
Last Updated: Jun 27, 2022

Practice Location

Address: 982 DAFFODIL ST
City: Fountain
State: Colorado
ZIP Code: 80817-4148
Phone: (719) 407-0681

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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