Individual provider · Type 1 NPI
Mary Root
Massage Therapist · Soldiers Grove, WI
NPI number
1659097780
Active
Practice location
210 Atley St
Soldiers Grove, WI 54655-8505
Mailing address
PO Box 92
Gays Mills, WI 54631-0092
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 2436-146 (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.
About NPI 1659097780
Mary Root's National Provider Identifier is 1659097780, issued on Oct 19, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Soldiers Grove, WI. The record was last updated on Oct 19, 2022.