Individual provider · Type 1 NPI

Amanda C. Wilson, LMT

Massage Therapist · Gainesville, FL

NPI number 1457562969 Active

Practice location

1135 NW 23rd Ave, Suite D
Gainesville, FL 32609-5415

Mailing address

5226 NW 57th Ln
Gainesville, FL 32653-3320

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA46048 (FL)

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 1457562969

Amanda C. Wilson, LMT's National Provider Identifier is 1457562969, issued on May 25, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Gainesville, FL. The record was last updated on Jul 8, 2007.