Most Relevant Information
Provider Data
| NPI Number: | 1003063462 |
| Provider Name: | LINDA A WILSON RN, MT., MMP |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 025215 |
Most Important Dates
| Enumeration Date: | 08/27/2008 |
| Last Updated: | 08/27/2008 |
Provider Practice Location
12580 SAINT JAMES RD
VERNON
TX
763845726
Practice Location Phone/Fax
| Phone: | 9403570217 |
| Fax: |
Provider Mailing Location
12580 SAINT JAMES RD
VERNON
TX
763845726
Provider Mailing Phone/Fax
| Phone: | 9403570217 |
| Fax: |