NPI 1205967130

Lucinda Marie Carlson-Wilson, LMT

Practitioner Massage Therapist Joplin, MO

Practice location

Address: 111 W 3rd St Suite B, Joplin, MO 64801-2321
Phone: (471) 782-0844

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 2004009851 (MO)

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Registry record

NPI: 1205967130
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Mar 2007
Record last updated: 15 Jan 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.