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
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT129780 (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.