Individual provider · Type 1 NPI
Landon Wiedenman, M.T.
Massage Therapist · Jackson, WY
NPI number
1497059190
Active
Practice location
220 E. Broadway
Jackson, WY 83001
Fax (307) 459-4982
Mailing address
PO Box 6396
Jackson, WY 83002-6396
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | None listed |
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 Jackson
About NPI 1497059190
Landon Wiedenman, M.T.'s National Provider Identifier is 1497059190, issued on Jan 10, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Jackson, WY. The record was last updated on Jan 10, 2011.