MR. MARK E HARRIS LIC MASSAGE THERAPIS NPI 1619168531

NPI Information

NPI: 1619168531
Provider Name: MR. MARK E HARRIS, LIC MASSAGE THERAPIS
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
2400 DIAGONAL RD
LA CROSSE, WI
ZIP 54601
Phone: (608) 784-4471
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MR. Mark E Harris, LIC MASSAGE THERAPIS is a massage therapist in La Crosse, 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. MR. Mark E Harris, LIC MASSAGE THERAPIS NPI is 1619168531. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2400 DIAGONAL RD
LA CROSSE, WI
ZIP 54601-619
Phone: (608) 784-4471

The enumeration date for this NPI number is 8/6/2007 and was last updated on 8/6/2007.

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		2914 046	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: 4/28/2024

NPI Synchronization or Removal

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