IndividualActive
Landon Wiedenman, M.T.
NPI 1497059190 · Massage Therapist · Jackson, WY
Provider details
- NPI number
- 1497059190
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- M.T.
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
220 E. Broadway
Jackson, WY 83001
Phone: (307) 413-8949
Fax: (307) 459-4982
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 6396
Jackson, WY 83002-6396
Registry dates
- Enumerated
- 2011-01-10
- Last updated
- 2011-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.