Individual provider · Type 1 NPI
Kendrah Dawanna Wilson
Massage Therapist · St. Marys, GA
NPI number
1902623259
Active
Practice location
1709 Osborne Rd Apt Suite
St. Marys, GA 31558-9141
Mailing address
704 Wheeler St Apt Suite
St. Marys, GA 31558-8315
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist | 225700000X | MA105415 (FL) |
| Massage Therapist Primary | 225700000X | MT015102 (GA) |
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.
Other massage therapist providers in St. Marys
About NPI 1902623259
Kendrah Dawanna Wilson's National Provider Identifier is 1902623259, issued on Sep 26, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in St. Marys, GA. The record was last updated on Sep 26, 2024.