NPI 1902343908
Wilton Hall
Practice location
- Address
- 4625 E Broadway Blvd STE 114, Tucson, AZ 85711-3575
- Phone
- (520) 304-5330
- Mailing address
- 933 N Main Ave Unit 131, Tucson, AZ 85705-7617
Registered specialties (4)
Reflexologist
Primary
Counselor
Case Manager/Care Coordinator
Massage Therapist
Registry record
- NPI
- 1902343908
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 27 Jan 2017
- Record last updated
- 9 Jan 2020
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.