Mr Wilbur Van Winkle Iii, LMT | |
1704 Summerfield Dr Apt 1, Lebanon, TN 37087-4811 | |
(615) 423-1442 | |
Not Available |
Full Name | Mr Wilbur Van Winkle Iii |
---|---|
Gender | Male |
Speciality | Massage Therapist |
Location | 1704 Summerfield Dr Apt 1, Lebanon, Tennessee |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356701601 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 10962 (Tennessee) | Primary |
225700000X | Massage Therapist | 113838 (Texas) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Mr Wilbur Van Winkle Iii, LMT 1704 Summerfield Dr Apt 1, Lebanon, TN 37087-4811 Ph: (615) 423-1442 | Mr Wilbur Van Winkle Iii, LMT 1704 Summerfield Dr Apt 1, Lebanon, TN 37087-4811 Ph: (615) 423-1442 |
Kimberly Staples, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 3544 Blackberry Ln, Lebanon, TN 37087 Phone: 615-693-5946 | |
Michelle Sadler, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1632 Woodside Dr, Lebanon, TN 37087 Phone: 808-670-8686 |