Mr Wade Rio Wutschke, LMT is a
Massage Therapist based in St Anthony, Minnesota. Mr Wade Rio Wutschke is licensed to practice in * (Not Available) (license number ) and his current practice location is
2500 Highway 88, Suite 219, St Anthony, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(612) 554-9390.
NPI number for Mr Wade Rio Wutschke is 1134549405 and his current mailing address is 645 3rd Ave Nw, New Brighton, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134549405.
Healthcare Provider's Profile
| Full Name | Mr Wade Rio Wutschke |
|---|
| Gender | Male |
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| Speciality | Massage Therapist |
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| Location | 2500 Highway 88, St Anthony, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1134549405
- Provider Enumeration Date: 04/24/2014
- Last Update Date: 04/24/2014
Medical Identifiers
Medical identifiers for Mr Wade Rio Wutschke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134549405 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | (* (Not Available)) | Primary |
| 225700000X | Massage Therapist | (Minnesota) | Secondary |
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. Mr Wade Rio Wutschke 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 |
|---|
Mr Wade Rio Wutschke, LMT
645 3rd Ave Nw,
New Brighton, MN 55112-6840
Ph: (612) 554-9390 | Mr Wade Rio Wutschke, LMT
2500 Highway 88, Suite 219,
St Anthony, MN 55418-4223
Ph: (612) 554-9390 |
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