Individual provider · Type 1 NPI
Christine C. Wilson, LMT NCTMB
Massage Therapist · O Fallon, MO
NPI number
1215319637
Active
Practice location
9103 Phoenix Village Pkwy, Heart Centered Massage
O Fallon, MO 63368-4279
Mailing address
523 Aventura Way
St. Peters, MO 63376-5927
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 2014012307 (MO) |
| Massage Therapist | 225700000X | 227014605 (IL) |
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.
2 other providers at this address
Other massage therapist providers in O Fallon
About NPI 1215319637
Christine C. Wilson, LMT NCTMB's National Provider Identifier is 1215319637, issued on Jun 22, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in O Fallon, MO. The record was last updated on Jun 22, 2015.