Individual
MRS. ELAINE WIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
2000 KENNY RD, COLUMBUS, OH 43221-3502
(614) 293-9777
(614) 293-9677
Mailing address
2000 KENNY RD, COLUMBUS, OH 43221-3502
(614) 293-9777
(614) 293-9677
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.014476
OH
Other
Enumeration date
04/28/2014
Last updated
04/28/2014
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