Individual provider · Type 1 NPI

Jonathan Michael Wilson

Massage Therapist · East Setauket, NY

NPI number 1144836610 Active

Practice location

1386 Route 25A
East Setauket, NY 11733-2842

Call (631) 751-2375 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X027140-1 (NY)

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.

11 other providers at this address

Other massage therapist providers in East Setauket

See all in East Setauket →

About NPI 1144836610

Jonathan Michael Wilson's National Provider Identifier is 1144836610, issued on Sep 21, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in East Setauket, NY. The record was last updated on Sep 21, 2020.