MRS. THEREASA ANNE WIRKUS LMT NPI 1174033930

NPI Information

NPI: 1174033930
Provider Name: MRS. THEREASA ANNE WIRKUS, LMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
124 W BROADWAY
WAUKESHA, WI
ZIP 53186
Phone: (608) 359-9176
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MRS. Thereasa Anne Wirkus, LMT is a massage therapist in Waukesha, WI. The provider is 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. MRS. Thereasa Anne Wirkus, LMT NPI is 1174033930. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

124 W BROADWAY
WAUKESHA, WI
ZIP 53186-803
Phone: (608) 359-9176

The enumeration date for this NPI number is 10/6/2017 and was last updated on 2/18/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		13041-146	WISCONSIN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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