Individual provider · Type 1 NPI

Merrily Yvonne Wilson, LMT

Massage Therapist · Medford, OR

NPI number 1053774786 Active

Practice location

409 Earhart St
Medford, OR 97501-7827

Call (541) 858-8887 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X5083 (OR)

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 1053774786

Merrily Yvonne Wilson, LMT's National Provider Identifier is 1053774786, issued on Mar 31, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Medford, OR. The record was last updated on Mar 31, 2016.