Kathy Wilson, LMT

NPI #1679700215 in Florence, Oregon

Provider Information

NPI Number: 1679700215
Entity Type: Individual
Name: Kathy Wilson, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMT
Enumeration Date: Jun 22, 2009
Last Updated: Jun 22, 2009

Practice Location

Address: 1525 12TH ST
Address 2: SUITE #9
City: Florence
State: Oregon
ZIP Code: 97439-9497
Phone: (541) 991-2031

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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