Individual provider · Type 1 NPI
Tesa Wilder
Massage Therapist · Georgetown, TX
NPI number
1407443922
Active
Practice location
310 River Bluff Cir
Georgetown, TX 78626-4617
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT133884 (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.
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About NPI 1407443922
Tesa Wilder's National Provider Identifier is 1407443922, issued on Dec 30, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Georgetown, TX. The record was last updated on Dec 30, 2020.