Individual provider · Type 1 NPI
Carl Wilson, LMT
Massage Therapist · Seattle, WA
NPI number
1124645932
Active
Practice location
12345 Roosevelt Way NE Apt 304
Seattle, WA 98125-4867
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA00005063 (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 1124645932
Carl Wilson, LMT's National Provider Identifier is 1124645932, issued on Jun 26, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Seattle, WA. The record was last updated on Jun 26, 2020.