Individual
JOLENE CATHERINE WIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
5001 AMERICAN BLVD W STE 945, BLOOMINGTON, MN 55437-1162
(952) 835-6653
(952) 835-3895
Mailing address
5001 AMERICAN BLVD W STE 945, BLOOMINGTON, MN 55437-1162
(952) 835-6653
(952) 835-3895
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
08/27/2009
Last updated
08/27/2009
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