NPI 1003082603

Milton James Wilson, LMT

Practitioner Massage Therapist Albuquerque, NM

Practice location

Address: 3401 Carlisle Blvd NE, Albuquerque, NM 87110-1648
Phone: (505) 889-3333
Mailing address: 4931 Guadalupe Trl NW, Albuquerque, NM 87107-3371

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 0434 (NM)

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Registry record

NPI: 1003082603
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 May 2008
Record last updated: 2 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.