Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andre R Wilson, LMT

Individual provider Massage Therapist · NPI 1538903273

Andre R Wilson, LMT is a Massage Therapist in Tempe, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2024
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

209 E Baseline Rd Ste E102
Tempe, AZ 85283-1299
Phone: (480) 388-4252
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MT-25807 (AZ)

Record details

NPI number1538903273
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedJune 19, 2024
Last updated in NPPESJune 19, 2024
Certification dateJune 19, 2024
Mailing address6445 S Maple Ave Apt 2140, Tempe, AZ 85283-3643

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