Individual
MRS. JEANNETTE ELISE WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
30410 HIGHWAY 200 UNIT 100, PONDERAY, ID 83852-9601
(208) 263-3211
Mailing address
1602 PINE ST APT 20, SANDPOINT, ID 83864-5062
(208) 610-4001
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
03/04/2009
Last updated
05/15/2024
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