Jennifer R Wilson, MT

NPI #1952602914 in Longview, Texas

Provider Information

NPI Number: 1952602914
Entity Type: Individual
Name: Jennifer R Wilson, MT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: MT
Enumeration Date: Nov 8, 2010
Last Updated: Nov 8, 2010

Practice Location

Address: 3394 N US HIGHWAY 259
City: Longview
State: Texas
ZIP Code: 75605-5086
Phone: (903) 663-0061

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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