Individual provider · Type 1 NPI
Thereasa Anne Wirkus, LMT
Massage Therapist · Waukesha, WI
NPI number
1174033930
Active
Practice location
124 W Broadway
Waukesha, WI 53186-4803
Mailing address
W4885 Remer Rd
Elkhorn, WI 53121-4353
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 13041-146 (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 1174033930
Thereasa Anne Wirkus, LMT's National Provider Identifier is 1174033930, issued on Oct 6, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Waukesha, WI. The record was last updated on Feb 18, 2021.