Shawna Wilson, LMP

NPI #1952820540 in Longview, Washington

Provider Information

NPI Number: 1952820540
Entity Type: Individual
Name: Shawna Wilson, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Sep 14, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 1815 HUDSON ST
City: Longview
State: Washington
ZIP Code: 98632-2913
Phone: (360) 363-2636

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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