TINA WILSON LMT CLT NPI 1417262205

NPI Information

  • NPI: 1417262205
  • Provider Name: TINA WILSON, LMT, CLT
  • Classification: Mechanotherapist - 172M00000X
  • Entity Type: Individual
  • Address: 15019 NW 5TH AVE
    NEWBERRY, FL
    ZIP 32669
  • Phone: (352) 494-4372

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NPI Details

Tina Wilson, LMT, CLT is a mechanotherapist in Newberry, FL. The provider is a practitioner of mechanotherapy examines patients by verbal inquiry, examination of the musculoskeletal system by hand, and visual inspection and observation. In the treatment of patients, mechanotherapists employ the techniques of advised or supervised exercise; electrical neuromuscular stimulation; massage or manipulation; or air, water, heat, cold, sound, or infrared ray therapy. Tina Wilson, LMT, CLT NPI is 1417262205. 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:

15019 NW 5TH AVE
NEWBERRY, FL
ZIP 32669-828
Phone: (352) 494-4372

The enumeration date for this NPI number is 8/17/2010 and was last updated on 8/17/2010.

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
1172M00000XMechanotherapistMA31099FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C1960OTHERBC/BS

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: 11/21/2025

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