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Wilton Todd Carter
Massage Therapist in Vidalia, Georgia
NPI 1174003180

Wilton Todd Carter is a Massage Therapist based in Baxley, GA. Wilton Todd Carter practices in Vidalia, GA. The NPI Number for Wilton Todd Carter is 1174003180 and holds a License No. MT007086 (Georgia).

The current practice location address for Wilton Todd Carter is 101 Harris Industrial Blvd, Vidalia, GA and can be reached out via phone at 912-278-1479. You can also correspond with Wilton Todd Carter through the mailing address at 265 OAK CLIFF ST, BAXLEY, GA - 31513-4480 (mailing address contact number: 912-278-1479).

Location: 101 Harris Industrial Blvd, Vidalia, GA, 31513-4480
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174003180
Provider Name
Wilton Todd Carter
Credential
Provider Entity Type
Individual
Gender
Male
Address
101 Harris Industrial Blvd, Vidalia, GA, 31513-4480
Phone Number
912-278-1479
Fax Number
Provider Enumeration Date
08/19/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Harris Industrial Blvd
City
Vidalia
State
Georgia
Zip
30474-8852
Phone Number
912-278-1479
Fax Number
person
Provider Business Mailing Address Details
Address
101 Harris Industrial Blvd
City
Vidalia
State
Georgia
Zip
30474-8852
Phone Number
912-278-1479
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MT007086 (Georgia)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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