Lisa Wieczorek in Loxahatchee - Massage Therapist

Lisa Wieczorek - NPI 1235249673

Lisa Wieczorek is a Massage Therapist in Loxahatchee, Florida. Lisa Wieczorek practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Lisa Wieczorek is 1235249673. The last update date is 2007-07-09.

Lisa Wieczorek's current location address is 17604 90th St N, Loxahatchee, Florida. You can contact this provider via phone number 5616029990 and fax number 5613335939. The mailing address for Lisa Wieczorek is 17604 90th St N, Loxahatchee, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Lisa Wieczorek
Address 17604 90th St N, Loxahatchee, Florida
Phone Number 5616029990
Fax Number 5613335939
Sole Proprietor Y
Credentials LMT

NPI Number Detail

NPI Number 1235249673
Provider Enumeration Date 2006-08-30
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 17604 90th St N
City Loxahatchee
State Florida (FL)
Post Code 334702631
Phone Number 5616029990
Fax Number 5613335939

Provider's Primary Taxonomy Detail

Speciality Massage Therapist
Taxonomy 225700000X
Licence No MA 21717
Definition:
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
677392396 FL --

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FAQs about Lisa Wieczorek

What is the unique 10-digit identifier code assigned to Lisa Wieczorek by the Centers for Medicare & Medicaid Services?

The Lisa Wieczorek has been issued the NPI (National Provider Identifier) 1235249673 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Lisa Wieczorek?

The Lisa Wieczorek is situated at 17604 90Th St N, in the city of Loxahatchee, state of FL, with the zip code 334702631.

What is the Lisa Wieczorek's specialty and taxonomy code?

The Lisa Wieczorek's specialty is Massage Therapist, and the corresponding taxonomy code is 225700000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1235249673 to Lisa Wieczorek?

The Lisa Wieczorek received its 1235249673 assignment from the Centers for Medicare & Medicaid Services on 2006-08-30.

As of what date was the information regarding Lisa Wieczorek, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Lisa Wieczorek, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-09.

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