Organization
YVONNE WILCOX L.M.T.
Active
Other names
Yvonne Wilcox L.M.T.
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH YVONNE WILCOX LMT (OWNER/)
(304) 575-5296
Entity
Organization
Contact information
Practice address
129 MAIN ST STE 203, BECKLEY, WV 25801-4615
(304) 575-5296
Mailing address
144 HOTCHKISS RD, SLAB FORK, WV 25920-9505
(304) 575-5296
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1999-0234
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275817488
GROUP
WV
Enumeration date
05/14/2017
Last updated
07/21/2022
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