Lacie Wanner, | |
5331 Whipporwill Dr., Holiday, FL 34690 | |
(218) 244-2405 | |
Not Available |
Full Name | Lacie Wanner |
---|---|
Gender | Female |
Speciality | Massage Therapist |
Location | 5331 Whipporwill Dr., Holiday, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699210088 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 83387 (Florida) | Primary |
Mailing Address | Practice Location Address |
---|---|
Lacie Wanner, 5331 Whippoorwill Dr, Holiday, FL 34690-2144 Ph: (218) 244-2405 | Lacie Wanner, 5331 Whipporwill Dr., Holiday, FL 34690 Ph: (218) 244-2405 |
Svetlana Gendelman, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1621 Doubloon Dr, Holiday, FL 34690 Phone: 727-459-8196 | |
Ms. Lori E Mclean, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 3125 Harvardston Loop, Holiday, FL 34691 Phone: 727-271-1600 |