Wren A Wilder
Massage Therapist in Springfield, OR. Individual provider (NPI-1).
NPI number1366033482
StatusActive
Last updated in NPPESFeb 1, 2021
Details
- NPI
- 1366033482
- Entity type
- Individual (NPI-1)
- Name
- Wren A Wilder
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 1, 2021
- Certification date
- Feb 1, 2021
- Last updated
- Feb 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 25561 | OR | Yes |
Practice location
175 W B St Ste JSpringfield, OR 97477-4594
Phone 541-636-3905
Mailing address
175 W B St Ste JSpringfield, OR 97477-4594
Phone 541-636-3905
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