ANDRE R WILSON LMT
NPI 1538903273
Massage Therapist in Tempe, AZ

Q: What is Andre Wilson's NPI number?

The NPI number for Andre Wilson is 1538903273. It was assigned to this individual provider in the NPPES registry on June 19, 2024.

Q: What is Andre Wilson's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

Q: When was this NPI record last updated?

The NPPES record for Andre Wilson was last updated on June 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 19, 2024

209 E BASELINE RD STE E102, TEMPE, AZ 85283(480) 388-4252 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Andre R Wilson Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDRE R WILSON LMT (NPI 1538903273) is an individual massage therapist in Tempe, Arizona, licensed in Arizona (MT-25807) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1538903273

Entity TypeIndividualMale

Primary Taxonomy225700000X

Provider Legal NameANDRE R WILSONCredential: LMT

Location Address209 E BASELINE RD STE E102Tempe, AZ 85283-1299

Mailing Address6445 S Maple Ave Apt 2140Tempe, AZ 85283-3643 · (480) 388-4252

Phone(480) 388-4252

Sole ProprietorYes

Enumeration DateJune 19, 2024

NPPES CertifiedJune 19, 2024

✔ NPI 1538903273 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

License✔ Licensed in AZ · MT-25807

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.

209 E BASELINE RD STE E102, Tempe, AZ 85283

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SONG KAI MASSAGE PLLC

Massage Therapist

209 E BASELINE RD STE E102
TEMPE, AZ 85283

Maricopa County (602) 345-0678

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andre Wilson's NPI number?

The NPI number for Andre Wilson is 1538903273. It was assigned to this individual provider in the NPPES registry on June 19, 2024.

Where is Andre Wilson located?

Andre Wilson practices at 209 E Baseline Rd Ste E102, Tempe, AZ 85283. The listed phone number is (480) 388-4252.

What is Andre Wilson's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Andre Wilson was last updated on June 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.