ANNELIESE WILSON

Massage Therapist

Active Individual
NPI: 1003049586

Practice Address

238 N UNIVERSITY AVE APT 16
Provo, UT 84601

Phone: (801) 373-3484

Specialties

Specialty Code Primary License
Specialist 174400000X No 10378 (HI)
Massage Therapist 225700000X Yes 6149567-4701 (UT)

Frequently Asked Questions

NPI 1003049586 is the National Provider Identifier for ANNELIESE WILSON, a Massage Therapist provider located in Provo, UT. This NPI was enumerated on August 31, 2009.
ANNELIESE WILSON practices at 238 N UNIVERSITY AVE APT 16, Provo, UT 84601.

Quick Facts

NPI
1003049586
Type
Individual
Enumerated
Aug 31, 2009
Last Updated
Nov 22, 2020

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