Shaun P Wilcox, LMT

NPI #1891022570 in Albany, Oregon

Provider Information

NPI Number: 1891022570
Entity Type: Individual
Name: Shaun P Wilcox, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Nov 17, 2009
Last Updated: Nov 3, 2020

Practice Location

Address: 534 PLEASANT VIEW WAY NW
Address 2: SUITE 100
City: Albany
State: Oregon
ZIP Code: 97321-1789
Phone: (541) 812-5656

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X
Massage Therapist	225700000X	Primary

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