Debra Wilcox, LMT

NPI #1669828687 in Ruidoso, New Mexico

Provider Information

NPI Number: 1669828687
Entity Type: Individual
Name: Debra Wilcox, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: May 9, 2016
Last Updated: May 10, 2016

Practice Location

Address: 1009 MECHEM DR STE 5
City: Ruidoso
State: New Mexico
ZIP Code: 88345-7060
Phone: (575) 802-3791

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Reflexologist	173C00000X
Specialist	174400000X
Massage Therapist	225700000X	Primary

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