Individual provider · Type 1 NPI

Alexis Wylie, CMT

Massage Therapist · Guerneville, CA

NPI number 1376409920 Active

Practice location

11811 Ridge Dr
Guerneville, CA 95446-9724

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X101126 (CA)

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 1376409920

Alexis Wylie, CMT's National Provider Identifier is 1376409920, issued on Dec 29, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Guerneville, CA. The record was last updated on Dec 29, 2025.