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Brian Lee Wilson, LMP
Massage Therapist in Vancouver, Washington
NPI 1780931329

Brian Lee Wilson is a Massage Therapist based in Vancouver, WA. Brian Lee Wilson practices in Vancouver, WA and has the professional credentials of LMP. The NPI Number for Brian Lee Wilson is 1780931329 and holds a License No. MA60293278 (Washington).

The current practice location address for Brian Lee Wilson is 1840 Ne 104Th Loop, Vancouver, WA and can be reached out via phone at 360-609-0641.

Location: 1840 Ne 104Th Loop, Vancouver, WA, 98686-5676
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780931329
Provider Name
Brian Lee Wilson
Credential
LMP
Provider Entity Type
Individual
Gender
Male
Address
1840 Ne 104Th Loop, Vancouver, WA, 98686-5676
Phone Number
360-609-0641
Fax Number
Provider Enumeration Date
08/14/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1840 Ne 104Th Loop
City
Vancouver
State
Washington
Zip
98686-5676
Phone Number
360-609-0641
Fax Number
person
Provider Business Mailing Address Details
Address
1840 Ne 104Th Loop
City
Vancouver
State
Washington
Zip
98686-5676
Phone Number
360-609-0641
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA60293278 (Washington)
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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