Individual provider · Type 1 NPI

Kip L. Wilson, LMP LMT

Massage Therapist · Vancouver, WA

NPI number 1811102122 Active

Practice location

2417 Broadway St
Vancouver, WA 98663

Call (360) 694-0157 Map

Mailing address

10006 NW 3rd Ct
Vancouver, WA 98685

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000X11195 (OR)
Massage Therapist Primary 225700000XMA00019015 (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.

2 other providers at this address

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About NPI 1811102122

Kip L. Wilson, LMP LMT's National Provider Identifier is 1811102122, issued on May 11, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Vancouver, WA. The record was last updated on Jul 8, 2007.