Individual provider · Type 1 NPI

Lisa Juanita Wilson, CMT

Massage Therapist · Mount Pleasant, MI

NPI number 1740442912 Active

About NPI 1740442912

Lisa Juanita Wilson, CMT's National Provider Identifier is 1740442912, issued on Jun 30, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Mount Pleasant, MI. The record was last updated on Jul 11, 2008.