MRS. Lisa Juanita Wilson, CMT
NPI #1740442912 in Mount Pleasant, Michigan
Provider Information
- NPI Number
- 1740442912
- Entity Type
- Individual
- Name
- MRS. Lisa Juanita Wilson, CMT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- CMT
- Enumeration Date
- Jun 30, 2008
- Last Updated
- Jul 11, 2008
Practice Location
- Address
- 304 W MICHIGAN ST
- Address 2
- SUITE# 5
- City
- Mount Pleasant
- State
- Michigan
- ZIP Code
- 48858-2492
- Phone
- (989) 572-8117
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
| Naturopath |
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