Individual provider · Type 1 NPI

Anneliese Wilson

Massage Therapist · Provo, UT

NPI number 1003049586 Active

Practice location

238 N University Ave Apt 16
Provo, UT 84601-2821

Call (801) 373-3484 Map

Mailing address

710 W 800 N
Provo, UT 84601-1518

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000X10378 (HI)
Massage Therapist Primary 225700000X6149567-4701 (UT)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1003049586

Anneliese Wilson's National Provider Identifier is 1003049586, issued on Aug 31, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Provo, UT. The record was last updated on Nov 22, 2020.