Individual provider · Type 1 NPI

Michelle Lynn Wilson, L.M.P.

Massage Therapist · Lacey, WA

NPI number 1407979719 Active

Practice location

5750 Ruddell Rd SE, Suite B
Lacey, WA 98503-5100

Call (360) 412-8286 Map

Fax (360) 412-7403

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA00020296 (WA)

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 1407979719

Michelle Lynn Wilson, L.M.P.'s National Provider Identifier is 1407979719, issued on Apr 10, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lacey, WA. The record was last updated on Jan 14, 2008.