Mrs Kathy Dawn Wilson, LMT is a
Massage Therapist based in Scott Depot, West Virginia. Mrs Kathy Dawn Wilson is licensed to practice in West Virginia (license number 1999-0246) and her current practice location is
102 Mcclure Dr, Scott Depot, West Virginia. She can be reached at her office (for appointments etc.) via phone at
(304) 757-2670.
NPI number for Mrs Kathy Dawn Wilson is 1245455443 and her current mailing address is 102 Mcclure Dr, Scott Depot, West Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245455443.
Healthcare Provider's Profile
Full Name | Mrs Kathy Dawn Wilson |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 102 Mcclure Dr, Scott Depot, West Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1245455443
- Provider Enumeration Date: 04/16/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Kathy Dawn Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245455443 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 1999-0246 (West Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kathy Dawn Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Kathy Dawn Wilson, LMT 102 Mcclure Dr, Scott Depot, WV 25560-9439 Ph: (304) 757-2670 | Mrs Kathy Dawn Wilson, LMT 102 Mcclure Dr, Scott Depot, WV 25560-9439 Ph: (304) 757-2670 |
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