Individual provider · Type 1 NPI

Michelle Lyn Wilson, LMT

Massage Therapist · Lynnwood, WA

NPI number 1033692397 Active

Practice location

2902 164th St SW Ste D1
Lynnwood, WA 98087-3201

Mailing address

12402 Admiralty Way Apt J205
Everett, WA 98204-8584

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60811330 (WA)

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 1033692397

Michelle Lyn Wilson, LMT's National Provider Identifier is 1033692397, issued on Sep 12, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lynnwood, WA. The record was last updated on Sep 12, 2018.