Individual
EVE WILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CNMT, CLT
Contact information
Practice address
1205B MARSHALL AVE, LANCASTER, PA 17601-4556
(717) 380-7342
Mailing address
1205B MARSHALL AVE, LANCASTER, PA 17601-4556
(717) 380-7342
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG006951
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MSG006951
LICENSE
PA
Enumeration date
08/16/2019
Last updated
12/16/2019
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