Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA RAE WYATT, LMT
Active Sole ProprietorJESSICA RAE WYATT, LMT is a Massage Therapist healthcare provider located in AVON LAKE, Ohio. NPI 1033495338 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · AVON LAKE, OH
Registration Details
- NPI Number
- 1033495338
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 31, 2011 (14.744142206109 yrs)
- Last Updated
- Jul 9, 2018
- License
-
33.018202 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
690 AVON BELDEN RD STE 2CAVON LAKE, OH, 44012Browse OH providers · Browse ZIP 44012
- Phone
- 4402254555
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in AVON LAKE, OH
| Name | Credential | NPI |
|---|---|---|
| MICHAEL HOLLAND | LMT | 1689940884 |
| MRS. AMELIA RENEE PATTERSON | MT | 1366945198 |
| FRANK PHANORD | — | 1013664291 |
| ARIEL CALABRESE | L.M.T. | 1821894619 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.