Individual provider · Type 1 NPI
Kathy Dawn Wilson, LMT
Massage Therapist · Scott Depot, WV
NPI number
1245455443
Active
Practice location
102 Mcclure Dr
Scott Depot, WV 25560-9439
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 1999-0246 (WV) |
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.
About NPI 1245455443
Kathy Dawn Wilson, LMT's National Provider Identifier is 1245455443, issued on Apr 16, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Scott Depot, WV. The record was last updated on Jul 8, 2007.