| Berevon Tayshawn Wyatt, | |
|
3510 N Oakland Ave Ste 206, Milwaukee, WI 53211-2746 | |
| (414) 915-4213 | |
| Not Available |
| Full Name | Berevon Tayshawn Wyatt |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 3510 N Oakland Ave Ste 206, Milwaukee, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114526068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 14485-146 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Berevon Tayshawn Wyatt, 1727 W Keefe Ave, Milwaukee, WI 53206-2322 Ph: (414) 915-4213 | Berevon Tayshawn Wyatt, 3510 N Oakland Ave Ste 206, Milwaukee, WI 53211-2746 Ph: (414) 915-4213 |
Roberto Lorenzana, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 515 W Lincoln Ave, Milwaukee, WI 53207 Phone: 414-837-6948 | |
Andrea Lynn Dinauer, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1020 N 12th St Fl 4, Milwaukee, WI 53233 Phone: 414-219-5908 | |
Kristine Besharat, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 945 N 12th St, Milwaukee, WI 53233 Phone: 414-219-5900 | |
Kendall Tiara Jones, LICENSED MASSAGE THE Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 E Reservoir Ave, Milwaukee, WI 53212 Phone: 414-573-4356 | |
Rebecca Ann Biskup, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1020 N 12th St, Milwaukee, WI 53233 Phone: 414-219-5908 | |
Margaret M Skowlund, MASSAGE THERAPIST Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1020 N 12th St Fl 4, Milwaukee, WI 53233 Phone: 414-219-5900 |