Individual
HEATHER SUZANNE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
3502 S 12TH ST STE B, TACOMA, WA 98405-2279
(253) 564-2220
(253) 564-2221
Mailing address
1715 S 8TH ST APT 6, TACOMA, WA 98405-3397
(253) 227-4122
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61025653
WA
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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