Individual provider · Type 1 NPI
Collette Wilson, LMT
Massage Therapist · Lyndon, KY
NPI number
1407312762
Active
Practice location
8143 New La Grange Rd
Lyndon, KY 40222-4682
Mailing address
5502 Hasbrook Dr
Louisville, KY 40229-2942
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 109032 (KY) |
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 Lyndon
About NPI 1407312762
Collette Wilson, LMT's National Provider Identifier is 1407312762, issued on Feb 12, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lyndon, KY. The record was last updated on Feb 12, 2019.