Individual
ALEXIS WILSON-GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2511 W SCHROCK RD, WESTERVILLE, OH 43081-8956
(614) 423-8745
(614) 423-2909
Mailing address
2511 W SCHROCK RD, WESTERVILLE, OH 43081-8956
(614) 423-8745
(614) 423-2909
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4187
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4187
STATE
OH
Enumeration date
08/12/2018
Last updated
08/12/2018
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