Mary Root, is a
Massage Therapist based in Soldiers Grove, Wisconsin. Mary Root is licensed to practice in Wisconsin (license number 2436-146) and her current practice location is
210 Atley St, Soldiers Grove, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(507) 571-0585.
NPI number for Mary Root is 1659097780 and her current mailing address is Po Box 92, Gays Mills, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659097780.
Healthcare Provider's Profile
| Full Name | Mary Root |
|---|
| Gender | Female |
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| Speciality | Massage Therapist |
|---|
| Location | 210 Atley St, Soldiers Grove, Wisconsin |
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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: 1659097780
- Provider Enumeration Date: 10/19/2022
- Last Update Date: 10/19/2022
Medical Identifiers
Medical identifiers for Mary Root such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659097780 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | 2436-146 (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. Mary Root 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 |
|---|
Mary Root,
Po Box 92,
Gays Mills, WI 54631-0092
Ph: () - | Mary Root,
210 Atley St,
Soldiers Grove, WI 54655-8505
Ph: (507) 571-0585 |
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