ANNELIESE WILSON NPI 1003049586

NPI Information

NPI: 1003049586
Provider Name: ANNELIESE WILSON
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
238 N UNIVERSITY AVE APT 16
PROVO, UT
ZIP 84601
Phone: (801) 373-3484
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Anneliese Wilson is a massage therapist in Provo, UT. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Anneliese Wilson NPI is 1003049586. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

238 N UNIVERSITY AVE APT 16
PROVO, UT
ZIP 84601-821
Phone: (801) 373-3484

The enumeration date for this NPI number is 8/31/2009 and was last updated on 11/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		10378	HAWAII	No
2	225700000X	Massage Therapist		6149567-4701	UTAH	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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