Alexis Lillian Michonski, is a
Massage Therapist based in Shawano, Wisconsin. Alexis Lillian Michonski is licensed to practice in Wisconsin (license number 17072-146) and her current practice location is
153 S Main St, Shawano, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(715) 201-1081.
NPI number for Alexis Lillian Michonski is 1629777206 and her current mailing address is 153 S Main St, Shawano, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629777206.
Healthcare Provider's Profile
Full Name | Alexis Lillian Michonski |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 153 S Main St, Shawano, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629777206
- Provider Enumeration Date: 03/02/2023
- Last Update Date: 03/02/2023
Medical Identifiers
Medical identifiers for Alexis Lillian Michonski such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629777206 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 17072-146 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alexis Lillian Michonski is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Alexis Lillian Michonski, 153 S Main St, Shawano, WI 54166-2357 Ph: (715) 201-1081 | Alexis Lillian Michonski, 153 S Main St, Shawano, WI 54166-2357 Ph: (715) 201-1081 |
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