Individual provider · Type 1 NPI
Tanesha Wilson
Massage Therapist · Columbus, GA
NPI number
1154289601
Active
Practice location
1043 Neill Dr
Columbus, GA 31904-7127
Mailing address
1817 Tradition Way
Phenix City, AL 36867-3842
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT015679 (GA) |
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 1154289601
Tanesha Wilson's National Provider Identifier is 1154289601, issued on Jan 13, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Columbus, GA. The record was last updated on Jan 13, 2026.