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

MR. WILBUR VAN WINKLE III, LMT

Active Sole Proprietor

MR. WILBUR VAN WINKLE III, LMT is a Massage Therapist healthcare provider located in LEBANON, Tennessee. NPI 1356701601 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · LEBANON, TN

Registration Details

NPI Number
1356701601
Provider Type
Individual
Gender
Male
NPI Issued
Feb 29, 2016 (10.454290041715 yrs)
Last Updated
Feb 29, 2016
Licenses
10962 (TN)
113838 (TX)
Sole Proprietor
Yes

Practice Information

Address
1704 SUMMERFIELD DR APT 1
LEBANON, TN, 370874811
Browse TN providers · Browse ZIP 37087
Phone
6154231442
Primary Specialty
Massage Therapist
225700000X
Additional Specialty
Massage Therapist

Other Massage Therapist Providers in LEBANON, TN

Name Credential NPI
KIMBERLY STAPLES LMT 1316699754
MICHELLE SADLER LMT 1407570286
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.