Individual provider · Type 1 NPI
Wilbur Van Winkle Iii, LMT
Massage Therapist · Lebanon, TN
NPI number
1356701601
Active
Practice location
1704 Summerfield Dr Apt 1
Lebanon, TN 37087-4811
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 10962 (TN) |
| Massage Therapist | 225700000X | 113838 (TX) |
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.
Other massage therapist providers in Lebanon
About NPI 1356701601
Wilbur Van Winkle Iii, LMT's National Provider Identifier is 1356701601, issued on Feb 29, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lebanon, TN. The record was last updated on Feb 29, 2016.