Individual provider · Type 1 NPI
Carolyn Lee Moskonas
Massage Therapist · West Allis, WI
NPI number
1700547387
Active
Practice location
6767 W Greenfield Ave # LL3
West Allis, WI 53214-4967
Mailing address
6767 W Greenfield Ave Ste LL3
West Allis, WI 53214-4967
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 15684 (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.
2 other providers at this address
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About NPI 1700547387
Carolyn Lee Moskonas's National Provider Identifier is 1700547387, issued on Jan 5, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in West Allis, WI. The record was last updated on Jan 5, 2022.