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

Jonathan Michael Wilson

Individual provider Massage Therapist · NPI 1144836610

Jonathan Michael Wilson is a Massage Therapist in East Setauket, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
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Practice location Address checks out

1386 Route 25A
East Setauket, NY 11733-2842
Phone: (631) 751-2375
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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 027140-1 (NY)

Record details

NPI number1144836610
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 21, 2020
Last updated in NPPESSeptember 21, 2020
Certification dateSeptember 15, 2020

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