Mrs. Jennifer Lovell Wilson
Massage Therapist
102 W 2nd Ave
Indianola
, Iowa 50125-2522
Mrs. Jennifer Lovell Wilson
Massage Therapist
102 W 2nd Ave
Indianola
, Iowa 50125-2522
(319) 202-5555
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About
Features
Specialties
- Massage Therapist
Languages spoken
- English
Location
First Address
- Mrs. Jennifer Lovell Wilson
- 508 E 3rd Ave
- Indianola, IA
- Zip : 50125-2945
- Phone : (319) 202-5555
Second Address
- Mrs. Jennifer Lovell Wilson
- 102 W 2nd Ave
- Indianola, IA
- Zip : 50125-2522
- Phone : (515) 962-2166
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 005932 | IA |
National Provider Identifier
| NPI | 1013353713 |
|---|---|
| Provider Name | Mrs. Jennifer Lovell Wilson |
| First Address | Indianola, IA 50125-2945 |
| Second Address | Indianola, IA 50125-2522 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/05/2013 |
| Last Update Date | 21/05/2013 |
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.