Most Relevant Information
Provider Data
| NPI Number: | 1003304015 |
| Provider Name: | JULIE BETH WILSON SHINABERRY LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 2005-1691 |
Most Important Dates
| Enumeration Date: | 04/25/2018 |
| Last Updated: | 12/16/2020 |
Provider Practice Location
943 MAPLE DR
MORGANTOWN
WV
265052812
Practice Location Phone/Fax
| Phone: | 3045992515 |
| Fax: |
Provider Mailing Location
PO BOX 404
MORGANTOWN
WV
265070404
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |