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

Individual provider Massage Therapist · NPI 1598268567

Patty Raelene Wilson, MASSAGETHERAPIST is a Massage Therapist in Pueblo, Colorado. Licensed in Colorado. Registered with an NPI since 2018.

Licensed in
CO
In the registry since
2018
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Practice location Address checks out

301 N Main St Ste 301
Pueblo, CO 81003-3259
Phone: (719) 671-4317
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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.0013933 (CO)

Record details

NPI number1598268567
Entity typeIndividual (Type 1)
GenderFemale
Credentials MASSAGETHERAPIST
Sole proprietorNo
NPI enumeratedMarch 15, 2018
Last updated in NPPESMarch 15, 2018

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