Individual provider · Type 1 NPI

Heidi Jean Gonzalez

Massage Therapist · Wauwatosa, WI

NPI number 1194466029 Active

Practice location

12100 W Dearbourn Ave
Wauwatosa, WI 53226-3840

Call (414) 870-3548 Map

Mailing address

726 S 111th St
Milwaukee, WI 53214-2331

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X11040-146 (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 1194466029

Heidi Jean Gonzalez's National Provider Identifier is 1194466029, issued on Apr 5, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Wauwatosa, WI. The record was last updated on Apr 5, 2022.