Individual provider · Type 1 NPI

Barbara J. Wild, CMT

Massage Therapist · St. Louis Park, MN

NPI number 1639352586 Active

Practice location

3125 Georgia Ave S
St. Louis Park, MN 55426-3430

Call (952) 457-2310 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XNone 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.

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About NPI 1639352586

Barbara J. Wild, CMT's National Provider Identifier is 1639352586, issued on Dec 14, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in St. Louis Park, MN. The record was last updated on Dec 27, 2007.