Individual
CODY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 COUNTRY WAY, CAMDEN, ME 04843-4228
(207) 975-2550
Mailing address
1 COUNTRY WAY, CAMDEN, ME 04843-4228
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
—
—
225700000X
Massage Therapist
Primary
MT7468
ME
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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