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Kip L Wilson, LMPLMT
Massage Therapist in Vancouver, Washington
NPI 1811102122

Kip L Wilson is a Massage Therapist based in Vancouver, WA. Kip L Wilson practices in Vancouver, WA and has the professional credentials of LMPLMT. The NPI Number for Kip L Wilson is 1811102122 and holds a License No. 11195 (Washington).

The current practice location address for Kip L Wilson is 2417 Broadway St, Vancouver, WA and can be reached out via phone at 360-694-0157.

Location: 2417 Broadway St, Vancouver, WA, 98685
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811102122
Provider Name
Kip L Wilson
Credential
LMPLMT
Provider Entity Type
Individual
Gender
Male
Address
2417 Broadway St, Vancouver, WA, 98685
Phone Number
360-694-0157
Fax Number
Provider Enumeration Date
05/11/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2417 Broadway St
City
Vancouver
State
Washington
Zip
98663
Phone Number
360-694-0157
Fax Number
person
Provider Business Mailing Address Details
Address
2417 Broadway St
City
Vancouver
State
Washington
Zip
98663
Phone Number
360-694-0157
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
11195 (Oregon)
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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