Individual provider · Type 1 NPI

Diane Therese Willis, LMT

Massage Therapist · Pewaukee, WI

NPI number 1144857343 Active

Practice location

580 Foxtail Dr Apt 101
Pewaukee, WI 53072-2492

Call (262) 719-4349 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X12802-146 (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.

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About NPI 1144857343

Diane Therese Willis, LMT's National Provider Identifier is 1144857343, issued on Mar 26, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Pewaukee, WI. The record was last updated on Mar 26, 2020.