Joseph Anthony Wiborg, LMT

NPI #1902363427 in Tumwater, Washington

Provider Information

NPI Number: 1902363427
Entity Type: Individual
Name: Joseph Anthony Wiborg, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Feb 21, 2019
Last Updated: Feb 21, 2019

Practice Location

Address: 128 D ST SW
City: Tumwater
State: Washington
ZIP Code: 98501-4064
Phone: (360) 570-9580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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