NPI 1225278112

Jeannette Elise Wilcox, CMT

Practitioner Massage Therapist Ponderay, ID

Practice location

Address: 30410 Highway 200 Unit 100, Ponderay, ID 83852-9601
Phone: (208) 263-3211
Mailing address: 1602 Pine St APT 20, Sandpoint, ID 83864-5062

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X

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Registry record

NPI: 1225278112
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Mar 2009
Record last updated: 15 May 2024

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.