| Mr Wilbur Van Winkle Iii, LMT | |
|
1704 Summerfield Dr Apt 1, Lebanon, TN 37087-4811 | |
| (615) 423-1442 | |
| Not Available |
| Full Name | Mr Wilbur Van Winkle Iii |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 1704 Summerfield Dr Apt 1, Lebanon, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356701601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 10962 (Tennessee) | Primary |
| 225700000X | Massage Therapist | 113838 (Texas) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Wilbur Van Winkle Iii, LMT 1704 Summerfield Dr Apt 1, Lebanon, TN 37087-4811 Ph: (615) 423-1442 | Mr Wilbur Van Winkle Iii, LMT 1704 Summerfield Dr Apt 1, Lebanon, TN 37087-4811 Ph: (615) 423-1442 |
Kimberly Staples, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 3544 Blackberry Ln, Lebanon, TN 37087 Phone: 615-693-5946 | |
Michelle Sadler, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1632 Woodside Dr, Lebanon, TN 37087 Phone: 808-670-8686 |