NPI 1326171331

Jennifer Jo Wilson, LMT

Practitioner Massage Therapist Cookeville, TN

Practice location

Address: 599 Vickers Pl STE D, Cookeville, TN 38501-4076
Phone: (931) 528-6866

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 6485 (TN)

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Registry record

NPI: 1326171331
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Mar 2007
Record last updated: 8 Jul 2007

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.