Individual provider · Type 1 NPI

Jennifer R. Wilson, MT

Massage Therapist · Longview, TX

NPI number 1952602914 Active

Practice location

3394 N US Highway 259
Longview, TX 75605-5086

Call (903) 663-0061 Map

Mailing address

200 Delwood Dr
Longview, TX 75605-3374

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT110646 (TX)

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 1952602914

Jennifer R. Wilson, MT's National Provider Identifier is 1952602914, issued on Nov 8, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Longview, TX. The record was last updated on Nov 8, 2010.