Individual provider · Type 1 NPI

Phoenix Wisner, MT

Massage Therapist · Fredericksburg, VA

NPI number 1740019694 Active

Practice location

10500 Wakeman Dr Ste 500
Fredericksburg, VA 22407-8014

Call (540) 785-7888 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X0019019873 (VA)

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 1740019694

Phoenix Wisner, MT's National Provider Identifier is 1740019694, issued on Jul 30, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fredericksburg, VA. The record was last updated on Jul 30, 2024.