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Organization
INTRASAGE THERAPY LLC
Active
Organization
INTRASAGE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUISA JULIA VANDEN BUSH LPC, CSAC (OWNER)
(262) 308-1079
Entity
Organization
Contact information
Practice address
10437 W INNOVATION DR STE 522, WAUWATOSA, WI 53226-4879
(414) 348-8432
(414) 363-3229
Mailing address
9740 W COLD SPRING RD, GREENFIELD, WI 53228-2720
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/26/2026
Last updated
07/22/2026
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