Individual
RICHARD C WILSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
640 E BETSY LN, GILBERT, AZ 85296-4197
(480) 238-6130
Mailing address
640 E BETSY LN, GILBERT, AZ 85296-4197
(480) 238-6130
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-25214
AZ
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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