PATTY RAELENE WILSON


Address: 301 N Main St Ste 301, Pueblo, CO 81003-3259
Phone: 7196714317

PATTY RAELENE WILSON (NPI# 1598268567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598268567
Entity Type Individual
Full Name PATTY RAELENE WILSON
Credential MASSAGE THERAPIST
Practice Address 301 N Main St Ste 301
Pueblo
CO 81003-3259
Mailing Address 2271 Oletta Ln
Pueblo
CO 81006-1648
Practice Telephone 7196714317
Mailing Telephone 7196714317
Enumeration Date 2018-03-15
Last Update Date 2018-03-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist MT.0013933 CO Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers PATTY WILSON

NPI Name Taxonomy Address Enumeration
1124574959 Patty Wilson Counselor 2555 E. Wood Street, Paris, TN 38242 2016-08-31
1932387800 Patty J. Wilson Counselor 100 Morgan Branch Estates, Candler, NC 28715 2008-02-04
1679042790 Patty R. Wilson Nurse Practitioner 1011 N Charles St Ste 1, Baltimore, MD 21201-5416 2018-11-19
1225263882 Patty K Wilson Counselor 425 N Oak St, North Platte, NE 69101-3764 2009-05-26
1720046584 Patty J Wilson Nurse Practitioner 1001 Johnson Ferry Rd Ne, Atlanta, GA 30342-1605 2006-05-02

Office Location

Street Address 301 N MAIN ST STE 301
City PUEBLO
State CO
Zip Code 81003-3259

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164042016 Sunil Kumar Student in an Organized Health Care Education/Training Program Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 2020-04-21
1497382303 Pueblo Family Dentistry Pllc Dentist 701 N Grand Avenue, Suite B, Pueblo, CO 81003 2020-03-23
1023654241 Elmer A. Villalon, Dmd, LLC Clinic/Center 1225 North Main Street, #207, Pueblo, CO 81003 2019-11-22
1518434349 Mariam Rahim Internal Medicine Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 2018-10-30
1003308222 Julia Mcneice Internal Medicine Parkview Medial Center, Parkveiw Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 2018-06-04
1689164857 Jessica Sels Internal Medicine Parkview Medical Center Adult Medicine Clinic, 311 W 14th St, Pueblo, CO 81003 2018-05-14
1700313459 Allison Vigil Occupational Therapist 1600 W. 24th St, Pueblo, CO 81003 2017-05-12
1245682020 Paul S Bongat Internal Medicine 411 W. 14th St., Parkview Adult Medicine Clinic, Pueblo, CO 81003 2016-07-06
1013368596 Daniel R Long Internal Medicine 411 West 14th Street, Pueblo, CO 81003 2016-06-27
1396195665 Parkview Medical Center General Acute Care Hospital 411 W. 14th St, Pueblo, CO 81003 2016-06-17
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Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225645286 Laura Leeanne Jimison Massage Therapist 3933 Elk Ln, Pueblo, CO 81005-3095 2020-09-24
1881236529 Jennifer Noel Klipfel Massage Therapist 356 S Mcculloch Blvd Ste 106b, Pueblo, CO 81007-2847 2019-10-15
1255805842 Bryan S Dewar Massage Therapist 21 Macalester Rd, Pueblo, CO 81001-2009 2019-01-16
1275017873 Oliver Gahlen Crawford Jr. Massage Therapist 2025 N Norwood Ave Ste B, Pueblo, CO 81001-5668 2018-09-19
1972081693 Angela Kaye Matthews Massage Therapist 3915 Outlook Blvd Ste C1, Pueblo, CO 81008-2604 2018-08-03
1932686698 Leah Urrutia Massage Therapist 517 W 5th St Ste 109, Pueblo, CO 81003-3186 2018-07-25
1609362243 Ee Bean Hiam Massage Therapist 63 E Spaulding Ave # W113, Pueblo, CO 81007-5416 2018-07-06
1568976835 Nicole Laureano Massage Therapist 3911 Outlook Blvd Ste B, Pueblo, CO 81008-1624 2017-11-25
1891208385 Amgelique Garcia Massage Therapist 2033 Pepper Ln, Pueblo, CO 81005-3276 2017-11-07
1780194886 Nevis Ann Edwards Massage Therapist 2520 S Prairie Ave, Pueblo, CO 81005-3169 2017-10-04
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Competitor

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City PUEBLO
Zip Code 81003

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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