Jennifer Wiley, RN, LMT is a
Massage Therapist based in Lake Saint Louis, Missouri. Jennifer Wiley is licensed to practice in Missouri (license number 2020040293) and her current practice location is
529 Parkgate Dr, Lake Saint Louis, Missouri. She can be reached at her office (for appointments etc.) via phone at
(573) 889-9864.
NPI number for Jennifer Wiley is 1205666724 and her current mailing address is 529 Parkgate Dr, Lake Saint Louis, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205666724.
Provider's Profile
Full Name | Jennifer Wiley |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 529 Parkgate Dr, Lake Saint Louis, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1205666724
- Provider Enumeration Date: 08/07/2024
- Last Update Date: 08/07/2024
Medical Identifiers
Medical identifiers for Jennifer Wiley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205666724 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 2005007084 (Missouri) | Secondary |
225700000X | Massage Therapist | 2020040293 (Missouri) | 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. Jennifer Wiley 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 |
Jennifer Wiley, RN, LMT 529 Parkgate Dr, Lake Saint Louis, MO 63367-4385 Ph: (573) 889-9864 | Jennifer Wiley, RN, LMT 529 Parkgate Dr, Lake Saint Louis, MO 63367-4385 Ph: (573) 889-9864 |
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