IndividualActive
Corinna Wilson, LMT
NPI 1154060770 · Massage Therapist · Providence, RI
Provider details
- NPI number
- 1154060770
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- No
- License
- MA99177 (FL)
Mailing address
251 Waterman St
Providence, RI 02906-5235
Registry dates
- Enumerated
- 2022-06-01
- Last updated
- 2022-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.