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Mrs. Jeannette Elise Wilcox, CMT
Massage Therapist in Ponderay, Idaho
NPI 1225278112

Jeannette Elise Wilcox is a Massage Therapist based in Sandpoint, ID. Jeannette Elise Wilcox practices in Ponderay, ID and has the professional credentials of CMT. The NPI Number for Jeannette Elise Wilcox is 1225278112 and holds a License No. (Idaho).

The current practice location address for Jeannette Elise Wilcox is 30410 Highway 200 Unit 100, Ponderay, ID and can be reached out via phone at 208-263-3211.

Location: 30410 Highway 200 Unit 100, Ponderay, ID, 83864-5062
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225278112
Provider Name
Jeannette Elise Wilcox
Credential
CMT
Provider Entity Type
Individual
Gender
Female
Address
30410 Highway 200 Unit 100, Ponderay, ID, 83864-5062
Phone Number
208-263-3211
Fax Number
Provider Enumeration Date
03/04/2009
Last Update Date
06/15/2024
institution
Provider Business Practice Location Address Details
Address
30410 Highway 200 Unit 100
City
Ponderay
State
Idaho
Zip
83852-9601
Phone Number
208-263-3211
Fax Number
person
Provider Business Mailing Address Details
Address
30410 Highway 200 Unit 100
City
Ponderay
State
Idaho
Zip
83852-9601
Phone Number
208-263-3211
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
()
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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