CODY WILSON
NPI 1548027139
Massage Therapist in Camden, ME
Active since February 29, 2024
About Cody Wilson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CODY WILSON (NPI 1548027139) is an individual massage therapist in Camden, Maine, licensed in Maine (MT7468) and active in the NPI registry since February 2024.
NPPES Registry Identity
NPI1548027139
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameCODY WILSON
Location Address1 COUNTRY WAYCamden, ME 04843-4228
Mailing Address1 Country WayCamden, ME 04843-4228
Phone(207) 975-2550
Sole ProprietorYes
Enumeration DateFebruary 29, 2024
NPPES CertifiedFebruary 29, 2024
✔ NPI 1548027139 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in ME · MT7468
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.
Also ListedClinical Exercise PhysiologistTaxonomy 224Y00000X
1 COUNTRY WAY, Camden, ME 04843
Group Practice 1
Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548027139, enumerated as an "individual" on February 29, 2024.
The provider is located at 1 COUNTRY WAY CAMDEN, ME 04843 and the phone number is (207) 975-2550.
Massage Therapist with taxonomy code 225700000X.
