Landon Wiedenman, M.T. is a massage therapist in Jackson, WY. 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. Landon Wiedenman, M.T. NPI is 1497059190. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
220 E. BROADWAY
JACKSON, WY
ZIP 83001
Phone: (307) 413-8949
Fax: (307) 459-4982
The enumeration date for this NPI number is 1/10/2011 and was last updated on 1/10/2011.