Chris A Wilson CMT

NPI 1104094101 - Massage Therapist - 225700000X

NPI Details
NPI 1104094101
Gender Male
Enumeration Date 02/13/2008
Last Updated 02/13/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
680 N LAKE SHORE DR
SUITE 815
CHICAGO IL, 60611-4546, US
Phone (312) 926-6338
Fax
Business Location
680 N LAKE SHORE DR
SUITE 815
CHICAGO IL, 60611-4546, US
Phone
Fax
Toxanomy
Taxonomy Code 225700000X
License State
License Number
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According to our database, Chris A Wilson CMT NPI is 1104094101, taxonomy code is 225700000X Chris A Wilson CMT physically located at 680 N Lake Shore Dr, Chicago IL, 60611-4546. NPI Number Chris A Wilson CMT has the Individual type.

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1104094101 NPI number is provided on an as is basis without warranty of any kind. 1104094101 is maintained by the National Plan & Provider Enumeration System. The contents of Chris A Wilson CMT are for informational purposes only.