| Charles W Wiltsie Iii, LMT | |
|
955 S Main St, Middletown, CT 06457-5153 | |
| (860) 638-9286 | |
| Not Available |
| Full Name | Charles W Wiltsie Iii |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 955 S Main St, Middletown, Connecticut |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619518420 | NPI | - | NPPES |
| 000254 | Other | CT | CONNECTICUT DEPARTMENT OF HEALTH |
| 000254 | Other | CT | MASSAGE THERAPY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 000254 (Connecticut) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Charles W Wiltsie Iii, LMT 955 S Main St, Middletown, CT 06457-5153 Ph: (860) 638-9286 | Charles W Wiltsie Iii, LMT 955 S Main St, Middletown, CT 06457-5153 Ph: (860) 638-9286 |
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