Timothy P Wilcox, LMT

NPI #1629307889 in Newberg, Oregon

Provider Information

NPI Number: 1629307889
Entity Type: Individual
Name: Timothy P Wilcox, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Dec 17, 2009
Last Updated: Mar 17, 2015

Practice Location

Address: 408 E 1ST ST
City: Newberg
State: Oregon
ZIP Code: 97132-2938
Phone: (503) 538-0100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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