Individual provider · Type 1 NPI

Jamie Sueann Wilson, LMT

Massage Therapist · Bedford, TX

NPI number 1093313223 Active

Practice location

240 Harwood Rd Ste 3
Bedford, TX 76021-4189

Mailing address

6824 Meadowbrook Dr
Fort Worth, TX 76112-5245

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT129780 (TX)

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 1093313223

Jamie Sueann Wilson, LMT's National Provider Identifier is 1093313223, issued on Oct 9, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bedford, TX. The record was last updated on Oct 9, 2020.