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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JONATHAN MICHAEL WILSON

Active Sole Proprietor

JONATHAN MICHAEL WILSON is a Massage Therapist healthcare provider located in EAST SETAUKET, New York. NPI 1144836610 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · EAST SETAUKET, NY

Registration Details

NPI Number
1144836610
Provider Type
Individual
Gender
Male
NPI Issued
Sep 21, 2020 (5.886352749242 yrs)
Last Updated
Sep 21, 2020
License
027140-1 (NY)
Sole Proprietor
Yes

Practice Information

Address
1386 ROUTE 25A
EAST SETAUKET, NY, 117332842
Browse NY providers · Browse ZIP 11733
Phone
6317512375
Primary Specialty
Massage Therapist
225700000X

Other Massage Therapist Providers in EAST SETAUKET, NY

Name Credential NPI
JAN BARTONE 1235524422
JASON FERRO 1659727956
ROBERT SCALCIONE LMT 1437600475
CLARE O'HANLON 1265983050
SARAH GLEN 1679015622
ASHLEY VICTORIA COHEN L.M.T. 1467996165
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.