person
Deshara L Wilson
Massage Therapist in Tampa, Florida
NPI 1912514829

Deshara L Wilson is a Massage Therapist based in Tampa, FL. Deshara L Wilson practices in Tampa, FL. The NPI Number for Deshara L Wilson is 1912514829 and holds a License No. MA93749 (Florida).

The current practice location address for Deshara L Wilson is 15303 Plantation Oaks Dr Apt 2, Tampa, FL and can be reached out via phone at 813-802-0557.

Location: 15303 Plantation Oaks Dr Apt 2, Tampa, FL, 33647-2147
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Provider Profile Details
NPI Number
1912514829
Provider Name
Deshara L Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
15303 Plantation Oaks Dr Apt 2, Tampa, FL, 33647-2147
Phone Number
813-802-0557
Fax Number
Provider Enumeration Date
09/24/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0557 01 FL 0557
0557 01 DESHARA WILSON
institution
Provider Business Practice Location Address Details
Address
15303 Plantation Oaks Dr Apt 2
City
State
Zip
33647-2147
Phone Number
813-802-0557
Fax Number
person
Provider Business Mailing Address Details
Address
15303 Plantation Oaks Dr Apt 2
City
State
Zip
33647-2147
Phone Number
813-802-0557
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
MA93749 (Florida)
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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