Sharalee Gail Wildman, RMT, LMT

NPI #1902142375 in Dallas, Oregon

Provider Information

NPI Number: 1902142375
Entity Type: Individual
Name: Sharalee Gail Wildman, RMT, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: RMT, LMT
Enumeration Date: Dec 12, 2012
Last Updated: Dec 12, 2012

Practice Location

Address: 297 SE WALNUT AVE
City: Dallas
State: Oregon
ZIP Code: 97338-2913
Phone: (503) 623-2262

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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