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Collette Wilson, LMT
Massage Therapist in Lyndon, Kentucky
NPI 1407312762

Collette Wilson is a Massage Therapist based in Louisville, KY. Collette Wilson practices in Lyndon, KY and has the professional credentials of LMT. The NPI Number for Collette Wilson is 1407312762 and holds a License No. 109032 (Kentucky).

The current practice location address for Collette Wilson is 8143 New La Grange Rd, Lyndon, KY and can be reached out via phone at 502-876-1991.

Location: 8143 New La Grange Rd, Lyndon, KY, 40229-2942
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407312762
Provider Name
Collette Wilson
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
8143 New La Grange Rd, Lyndon, KY, 40229-2942
Phone Number
502-876-1991
Fax Number
Provider Enumeration Date
02/12/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8143 New La Grange Rd
City
Lyndon
State
Kentucky
Zip
40222-4682
Phone Number
502-876-1991
Fax Number
person
Provider Business Mailing Address Details
Address
8143 New La Grange Rd
City
Lyndon
State
Kentucky
Zip
40222-4682
Phone Number
502-876-1991
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
109032 (Kentucky)
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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