Individual provider · Type 1 NPI

Brian Lee Wilson, LMP

Massage Therapist · Vancouver, WA

NPI number 1780931329 Active

Practice location

1840 NE 104th Loop, #7
Vancouver, WA 98686-5676

Call (360) 609-0641 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60293278 (WA)

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 1780931329

Brian Lee Wilson, LMP's National Provider Identifier is 1780931329, issued on Aug 14, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Vancouver, WA. The record was last updated on Aug 14, 2012.