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

TaxonomyCodeLicense
Massage Therapist Primary 225700000X13041-146 (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.