Joe Louis Wilson
Massage Therapist
9414 Ridgetop Blvd Nw #101
Silverdale
, Washington 98383-8525
Joe Louis Wilson
Massage Therapist
9414 Ridgetop Blvd Nw #101
Silverdale
, Washington 98383-8525
(360) 308-0195
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About
Features
Specialties
- Massage Therapist
Languages spoken
- English
Location
First Address
- Joe Louis Wilson
- 9414 Ridgetop Blvd Nw #101
- Silverdale, WA
- Zip : 98383-8525
- Fax : (360) 308-0195
- Phone : (360) 308-0250
Second Address
- Joe Louis Wilson
- 9414 Ridgetop Blvd Nw #101
- Silverdale, WA
- Zip : 98383-8525
- Fax : (360) 308-0195
- Phone : (360) 308-0250
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA60442140 | WA |
National Provider Identifier
| NPI | 1013331636 |
|---|---|
| Provider Name | Joe Louis Wilson |
| First Address | Silverdale, WA 98383-8525 |
| Second Address | Silverdale, WA 98383-8525 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/02/2014 |
| Last Update Date | 18/02/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.