NPI 1063737633

Shauna Marie Wilson, LMTAAS

Practitioner Massage Therapist Huntington, WV

Practice location

Address: 5505 US Route 60 Suite 100, Huntington, WV 25705-2070
Phone: (304) 412-2165

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 1998-0144 (WV)

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Registry record

NPI: 1063737633
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Apr 2010
Record last updated: 15 Aug 2012

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.