Individual provider · Type 1 NPI
Autumn Gransberry, LMT
Massage Therapist · New Berlin, WI
NPI number
1770822355
Active
Practice location
15720 W National Ave
New Berlin, WI 53151-5119
Mailing address
4024 N 98th St
Milwaukee, WI 53222-1421
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 11942-146 (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.
3 other providers at this address
Other massage therapist providers in New Berlin
About NPI 1770822355
Autumn Gransberry, LMT's National Provider Identifier is 1770822355, issued on Feb 2, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in New Berlin, WI. The record was last updated on Feb 2, 2013.