COLLETTE MICHELLE WILSON LMT
NPI 1205994183
Massage Therapist in Naalehu, HI
Active since December 05, 2006
About Collette Michelle Wilson Lmt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COLLETTE MICHELLE WILSON LMT (NPI 1205994183) is an individual massage therapist in Naalehu, Hawaii, licensed in Hawaii (MAT-12043) and active in the NPI registry since December 2006.
NPPES Registry Identity
NPI1205994183
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameCOLLETTE MICHELLE WILSONCredential: LMT
Location Address95-6040 MAMALAHOA HWYNaalehu, HI 96772
Mailing AddressPo Box 721426Naalehu, HI 96772-1119 · (808) 987-7490
Phone(808) 987-7490
Sole ProprietorNo
Enumeration DateDecember 5, 2006
Last NPPES UpdateDecember 14, 2023
NPPES CertifiedDecember 11, 2023
✔ NPI 1205994183 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
Licenses✔ Licensed in HI · MAT-12043✔ Licensed in WA · MA00021673
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
95-6040 MAMALAHOA HWY, Naalehu, HI 96772
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205994183, enumerated as an "individual" on December 05, 2006.
The provider is located at 95-6040 MAMALAHOA HWY NAALEHU, HI 96772 and the phone number is (808) 987-7490.
Massage Therapist with taxonomy code 225700000X.