Anneliese Wilson
Anneliese Wilson is a Specialist in Provo, Utah. Practices as a sole proprietor. Licensed in Hawaii and Utah.
- Licensed in
- HI, UT
- In the registry since
- 2009
- Specialties on file
- 2
Practice location Address checks out
238 N University Ave Apt 16Provo, UT 84601-2821
Phone: (801) 373-3484
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Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence 6149567-4701 (UT) |
|---|---|
| Specialist | Taxonomy 174400000X · Licence 10378 (HI) |
Record details
| NPI number | 1003049586 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 31, 2009 |
| Last updated in NPPES | November 22, 2020 |
| Certification date | November 22, 2020 |
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