IndividualActive
Christine Wilson, LMT NCTMB
NPI 1215319637 · Massage Therapist · O Fallon, MO
Provider details
- NPI number
- 1215319637
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT NCTMB
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2014012307 (MO)
Practice location
9103 Phoenix Village Pkwy
Heart Centered Massage
O Fallon, MO 63368-4279
Phone: (630) 338-5408
Mailing address
523 Aventura Way
Saint Peters, MO 63376-5927
Registry dates
- Enumerated
- 2015-06-22
- Last updated
- 2015-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.