Individual provider · Type 1 NPI
Bonnie Kay Wilson, LMT
Massage Therapist · Roswell, GA
NPI number
1437430907
Active
Practice location
321 Rosemont Ct
Roswell, GA 30076-3832
Fax (770) 916-4506
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT006683 (GA) |
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 1437430907
Bonnie Kay Wilson, LMT's National Provider Identifier is 1437430907, issued on Aug 29, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Roswell, GA. The record was last updated on Aug 29, 2011.