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

Mrs. Jeannette Elise Wilcox, CMT

Individual provider Massage Therapist · NPI 1225278112

Mrs. Jeannette Elise Wilcox, CMT is a Massage Therapist in Ponderay, Idaho. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

30410 Highway 200 Unit 100
Ponderay, ID 83852-9601
Phone: (208) 263-3211
Show map & directions

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

Additional practice locations (1)

  • 79440 Highway 111, La Quinta, CA 92253-4500 — (760) 771-2332

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X

Record details

NPI number1225278112
Entity typeIndividual (Type 1)
GenderFemale
Credentials CMT
Sole proprietorYes
NPI enumeratedMarch 4, 2009
Last updated in NPPESMay 15, 2024
Certification dateMay 15, 2024

Other providers in Ponderay