Marissa Katherine Wise, LMT is a
Massage Therapist based in Cohocton, New York. Marissa Katherine Wise is licensed to practice in New York (license number 030654) and her current practice location is
28 Maple Ave, Cohocton, New York. She can be reached at her office (for appointments etc.) via phone at
(585) 704-1624.
NPI number for Marissa Katherine Wise is 1447727268 and her current mailing address is 3 Park Ave, Cohocton, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1447727268.
Healthcare Provider's Profile
| Full Name | Marissa Katherine Wise |
|---|
| Gender | Female |
|---|
| Speciality | Massage Therapist |
|---|
| Location | 28 Maple Ave, Cohocton, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1447727268
- Provider Enumeration Date: 10/30/2018
- Last Update Date: 10/30/2018
Medical Identifiers
Medical identifiers for Marissa Katherine Wise such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447727268 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | 030654 (New York) | 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. Marissa Katherine Wise 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 |
|---|
Marissa Katherine Wise, LMT
3 Park Ave,
Cohocton, NY 14826-9401
Ph: (585) 944-8700 | Marissa Katherine Wise, LMT
28 Maple Ave,
Cohocton, NY 14826-9998
Ph: (585) 704-1624 |
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