Individual
CHRISTINA LYN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
112 N 9TH ST, KLAMATH FALLS, OR 97601-6002
(541) 331-6553
(541) 273-6279
Mailing address
112 N 9TH ST, KLAMATH FALLS, OR 97601-6002
(541) 331-6553
(541) 273-6279
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17299
OR
Other
Enumeration date
01/10/2012
Last updated
01/01/2014
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