| Ms Diane Therese Willis, LMT | |
|
580 Foxtail Dr Apt 101, Pewaukee, WI 53072-2492 | |
| (262) 719-4349 | |
| Not Available |
| Full Name | Ms Diane Therese Willis |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 580 Foxtail Dr Apt 101, Pewaukee, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144857343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 12802-146 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Diane Therese Willis, LMT 580 Foxtail Dr Apt 101, Pewaukee, WI 53072-2492 Ph: (262) 719-4349 | Ms Diane Therese Willis, LMT 580 Foxtail Dr Apt 101, Pewaukee, WI 53072-2492 Ph: (262) 719-4349 |
Sarita Odessa Salamone, BCTMB, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: N45w25203 Lindsay Rd, Pewaukee, WI 53072 Phone: 262-720-9800 | |
Mrs. Anita Hargarten Krier, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 203 W Wisconsin Ave, Pewaukee, WI 53072 Phone: 262-264-0070 | |
Shannon Gibney, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: N52w24310 Lisbon Rd, Pewaukee, WI 53072 Phone: 608-548-2335 | |
Miss Cassandra Jean Lynn Kinnard, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 325 Forest Grove Dr, Pewaukee, WI 53072 Phone: 262-563-3701 | |
Kristin Schwengel, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 285 Forest Grove Dr, Pewaukee, WI 53072 Phone: 262-746-9090 |