Brooke Wilson

NPI #1710440037 in Taylor, Michigan

Provider Information

NPI Number: 1710440037
Entity Type: Individual
Name: Brooke Wilson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Apr 12, 2019
Last Updated: Apr 12, 2019

Practice Location

Address: 9372 E PICKWICK CIR BLDG 14
City: Taylor
State: Michigan
ZIP Code: 48180-3854
Phone: (248) 800-6622

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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