Individual provider · Type 1 NPI

Ethan Wilson, LMP

Massage Therapist · Maple Valley, WA

NPI number 1235945940 Active

Practice location

26832 Maple Valley Black Diamond Rd SE
Maple Valley, WA 98038-8309

Call (425) 433-6583 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XNone listed

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 1235945940

Ethan Wilson, LMP's National Provider Identifier is 1235945940, issued on Dec 6, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Maple Valley, WA. The record was last updated on Dec 6, 2024.