Organization
INTEGRATED THERAPEUTIC MASSAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA ALTSTADT LMT (OWNER AND MASSAGE THERAPIST)
(414) 678-9294
Entity
Organization
Contact information
Practice address
5050 W VLIET ST, MILWAUKEE, WI 53208-2623
(414) 678-9294
Mailing address
5050 W VLIET ST, MILWAUKEE, WI 53208-2623
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
08/04/2021
Last updated
09/17/2021
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