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Kip Wilson, LMP LMT
NPI 1811102122 · on the registry since 2007
Practice
- Address
- 2417 Broadway St
Vancouver, WA 98663 - Phone
- (360) 694-0157
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Massage Therapist
225700000X
- Also registered as
- Massage Therapist
- Licence states on file
- OR, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington