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

Landon Wiedenman, MT

Individual provider Massage Therapist · NPI 1497059190

Landon Wiedenman, MT is a Massage Therapist in Jackson, Wyoming. Practices as a sole proprietor. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
MT — Medical Technologist
Performs laboratory testing on clinical specimens.

See every abbreviation used in this directory →

Practice location Address checks out

220 E Broadway
Jackson, WY 83001
Phone: (307) 413-8949
Fax: (307) 459-4982
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X

Record details

NPI number1497059190
Entity typeIndividual (Type 1)
GenderMale
Credentials MT
Sole proprietorYes
NPI enumeratedJanuary 10, 2011
Last updated in NPPESJanuary 10, 2011

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