Individual provider · Type 1 NPI

Jennifer McQuade Wilson, LMT

Massage Therapist · Clearwater, FL

NPI number 1659627578 Active

Practice location

1153 NE Cleveland St
Clearwater, FL 33755-4815

Mailing address

3232 Coventry N
Safety Harbor, FL 34695-4807

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA37275 (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 1659627578

Jennifer McQuade Wilson, LMT's National Provider Identifier is 1659627578, issued on Jul 29, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Clearwater, FL. The record was last updated on Jul 29, 2012.