NPI 1134620990

Courtney Beth Wilson

Practitioner Massage Therapist Provo, UT

Practice location

Address: 363 N University Ave STE 110, Provo, UT 84601-8425
Phone: (801) 901-7330

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 8043178-4701 (UT)

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Registry record

NPI: 1134620990
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Feb 2018
Record last updated: 26 Feb 2018

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.