Individual provider · Type 1 NPI
Wade Rio Wutschke, LMT
Massage Therapist · St. Anthony, MN
NPI number
1134549405
Active
Practice location
2500 Highway 88, Suite 219
St. Anthony, MN 55418-4223
Mailing address
645 3rd Ave NW
New Brighton, MN 55112-6840
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | None listed |
| Massage Therapist | 225700000X | None listed |
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.
Another provider at this address
About NPI 1134549405
Wade Rio Wutschke, LMT's National Provider Identifier is 1134549405, issued on Apr 24, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in St. Anthony, MN. The record was last updated on Apr 24, 2014.