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Landon Wiedenman, MT
Massage Therapist in Jackson, Wyoming
NPI 1497059190

Landon Wiedenman is a Massage Therapist based in Jackson, WY. Landon Wiedenman practices in Jackson, WY and has the professional credentials of MT. The NPI Number for Landon Wiedenman is 1497059190 and holds a License No. (Wyoming).

The current practice location address for Landon Wiedenman is 220 E. Broadway, Jackson, WY and can be reached out via phone at 307-413-8949 and via fax at 307-459-4982. You can also correspond with Landon Wiedenman through the mailing address at PO BOX 6396, JACKSON, WY - 83002-6396 (mailing address contact number: ).

Location: 220 E. Broadway, Jackson, WY, 83002-6396
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497059190
Provider Name
Landon Wiedenman
Credential
MT
Provider Entity Type
Individual
Gender
Male
Address
220 E. Broadway, Jackson, WY, 83002-6396
Phone Number
307-413-8949
Fax Number
307-459-4982
Provider Enumeration Date
01/10/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
220 E. Broadway
City
Jackson
State
Wyoming
Zip
83001
Phone Number
307-413-8949
Fax Number
307-459-4982
person
Provider Business Mailing Address Details
Address
Po Box 6396
City
Jackson
State
Wyoming
Zip
83002-6396
Phone Number
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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