Christine C Wilson, LMT NCTMB is a
Massage Therapist based in O Fallon, Missouri. Christine C Wilson is licensed to practice in Missouri (license number 2014012307) and her current practice location is
9103 Phoenix Village Pkwy, Heart Centered Massage, O Fallon, Missouri. She can be reached at her office (for appointments etc.) via phone at
(630) 338-5408.
NPI number for Christine C Wilson is 1215319637 and her current mailing address is 523 Aventura Way, Saint Peters, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215319637.
Healthcare Provider's Profile
Full Name | Christine C Wilson |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 9103 Phoenix Village Pkwy, O Fallon, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1215319637
- Provider Enumeration Date: 06/22/2015
- Last Update Date: 06/22/2015
Medical Identifiers
Medical identifiers for Christine C Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215319637 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 2014012307 (Missouri) | Primary |
225700000X | Massage Therapist | 227014605 (Illinois) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Christine C Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Christine C Wilson, LMT NCTMB 523 Aventura Way, Saint Peters, MO 63376-5927 Ph: (630) 338-5408 | Christine C Wilson, LMT NCTMB 9103 Phoenix Village Pkwy, Heart Centered Massage, O Fallon, MO 63368-4279 Ph: (630) 338-5408 |
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