Clara Denise Wisener, LMP | |
720 S Clark Ave, Republic, WA 99166 | |
(509) 775-0233 | |
(509) 775-8029 |
Full Name | Clara Denise Wisener |
---|---|
Gender | Female |
Speciality | Massage Therapist |
Location | 720 S Clark Ave, Republic, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952438665 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | MA00017276 (Washington) | Primary |
Mailing Address | Practice Location Address |
---|---|
Clara Denise Wisener, LMP Po Box 312, Republic, WA 99166-0312 Ph: (509) 775-0233 | Clara Denise Wisener, LMP 720 S Clark Ave, Republic, WA 99166 Ph: (509) 775-0233 |
Lindsay R Henderson, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 16278 N Highway 21, Republic, WA 99166 Phone: 509-207-8268 | |
Angie Tietsort, LMP Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 28 North Keller Street, Republic, WA 99166 Phone: 336-250-8581 Fax: 509-775-3320 |