Mrs Lisa Juanita Wilson, CMT is a
Massage Therapist based in Mount Pleasant, Michigan. Mrs Lisa Juanita Wilson is licensed to practice in * (Not Available) (license number ) and her current practice location is
304 W Michigan St, Suite# 5, Mount Pleasant, Michigan. She can be reached at her office (for appointments etc.) via phone at
(989) 572-8117.
NPI number for Mrs Lisa Juanita Wilson is 1740442912 and her current mailing address is 304 W Michigan St, Suite# 5, Mount Pleasant, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740442912.
Healthcare Provider's Profile
Full Name | Mrs Lisa Juanita Wilson |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 304 W Michigan St, Mount Pleasant, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1740442912
- Provider Enumeration Date: 06/30/2008
- Last Update Date: 07/11/2008
Medical Identifiers
Medical identifiers for Mrs Lisa Juanita Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740442912 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | (* (Not Available)) | Primary |
175F00000X | Naturopath | (* (Not Available)) | Secondary |
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 Lisa Juanita 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 Lisa Juanita Wilson, CMT 304 W Michigan St, Suite# 5, Mount Pleasant, MI 48858-2492 Ph: (989) 572-8117 | Mrs Lisa Juanita Wilson, CMT 304 W Michigan St, Suite# 5, Mount Pleasant, MI 48858-2492 Ph: (989) 572-8117 |
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