Individual provider · Type 1 NPI
Mary Claire Stillman, LMT
Massage Therapist · Mequon, WI
NPI number
1023589835
Active
Practice location
10134 N Port Washington Rd
Mequon, WI 53092-5700
Mailing address
9109 N Tennyson Dr
Bayside, WI 53217-1970
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 14789-146 (WI) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
3 other providers at this address
Other massage therapist providers in Mequon
About NPI 1023589835
Mary Claire Stillman, LMT's National Provider Identifier is 1023589835, issued on Dec 6, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Mequon, WI. The record was last updated on Dec 6, 2018.