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

Anneliese Wilson

Individual provider Specialist · NPI 1003049586

Anneliese Wilson is a Specialist in Provo, Utah. Practices as a sole proprietor. Licensed in Hawaii and Utah.

Licensed in
HI, UT
In the registry since
2009
Specialties on file
2
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Practice location Address checks out

238 N University Ave Apt 16
Provo, UT 84601-2821
Phone: (801) 373-3484
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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 6149567-4701 (UT)
Specialist Taxonomy 174400000X · Licence 10378 (HI)

Record details

NPI number1003049586
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 31, 2009
Last updated in NPPESNovember 22, 2020
Certification dateNovember 22, 2020
Mailing address710 W 800 N, Provo, UT 84601-1518

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