Autumn Gransberry, LMT is a
Massage Therapist based in New Berlin, Wisconsin. Autumn Gransberry is licensed to practice in Wisconsin (license number 11942-146) and her current practice location is
15720 W National Ave, New Berlin, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(262) 785-5515.
NPI number for Autumn Gransberry is 1770822355 and her current mailing address is 4024 N 98th St, Milwaukee, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770822355.
Healthcare Provider's Profile
Full Name | Autumn Gransberry |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 15720 W National Ave, New Berlin, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1770822355
- Provider Enumeration Date: 02/02/2013
- Last Update Date: 02/02/2013
Medical Identifiers
Medical identifiers for Autumn Gransberry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770822355 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 11942-146 (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. Autumn Gransberry 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 |
Autumn Gransberry, LMT 4024 N 98th St, Milwaukee, WI 53222-1421 Ph: (414) 336-0683 | Autumn Gransberry, LMT 15720 W National Ave, New Berlin, WI 53151-5119 Ph: (262) 785-5515 |
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