Organization
BE WELL THERAPEUTIC MASSAGE, LLC
Active
Organization
BE WELL THERAPEUTIC MASSAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN RENAE HODI (OWNER)
(414) 807-7609
Entity
Organization
Contact information
Practice address
2834 N 62ND ST, MILWAUKEE, WI 53210-2117
(414) 807-7609
Mailing address
5600 W BROWN DEER RD STE 208, BROWN DEER, WI 53223-2346
(414) 807-7609
(414) 221-0288
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2513-146
WI
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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