Individual
JOHN ANDREW WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4022 TENNYSON ST, DENVER, CO 80212-2104
(303) 435-8326
Mailing address
4022 TENNYSON ST, DENVER, CO 80212-2104
(303) 435-8326
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0017543
CO
Other
Enumeration date
09/08/2019
Last updated
09/08/2019
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