Individual
KATHLEEN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
362 RYERSON HILL RD, SOUTH PARIS, ME 04281-6205
(207) 595-1259
Mailing address
362 RYERSON HILL RD, SOUTH PARIS, ME 04281-6205
(207) 595-1259
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT4503
ME
Other
Enumeration date
02/28/2011
Last updated
02/28/2011
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