| Kip L Wilson, LMP LMT | |
|
2417 Broadway St, Vancouver, WA 98663 | |
| (360) 694-0157 | |
| Not Available |
| Full Name | Kip L Wilson |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 2417 Broadway St, Vancouver, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811102122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 11195 (Oregon) | Secondary |
| 225700000X | Massage Therapist | MA00019015 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kip L Wilson, LMP LMT 10006 Nw 3rd Ct, Vancouver, WA 98685 Ph: (360) 993-0234 | Kip L Wilson, LMP LMT 2417 Broadway St, Vancouver, WA 98663 Ph: (360) 694-0157 |
Amy Mertens, LMP Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 6115 Ne 114th Ave Ste 109, Vancouver, WA 98662 Phone: 360-606-3671 | |
Alisa Burggrabe-brossia, LMP Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 8501 E Mill Plain Blvd, Vancouver, WA 98664 Phone: 360-718-2346 | |
Miss Jennifer Allred, LMP Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1900 Ne 162nd Ave, Suite D-103, Vancouver, WA 98684 Phone: 360-944-4437 | |
Emily Christensen, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 4017 Ne 152nd Ave, Vancouver, WA 98682 Phone: 503-481-0945 | |
Kerri Davis, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1319 Ne 134th St Ste 103, Vancouver, WA 98685 Phone: 360-574-3141 | |
Mitzy Danae Leeper, LMT, TTT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 613 E Mcloughlin Blvd, Vancouver, WA 98663 Phone: 360-772-1740 | |
Gabriel Wood-bianchi, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 12800 Se 7th St Apt P4, Vancouver, WA 98683 Phone: 415-430-8428 |