Individual provider · Type 1 NPI

Joseph Anthony Wiborg, LMT

Massage Therapist · Tumwater, WA

NPI number 1902363427 Active

Practice location

128 D St SW
Tumwater, WA 98501-4064

Mailing address

7512 Thrush Dr SE
Olympia, WA 98513-5548

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60897904 (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 1902363427

Joseph Anthony Wiborg, LMT's National Provider Identifier is 1902363427, issued on Feb 21, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Tumwater, WA. The record was last updated on Feb 21, 2019.