Organization
MKE MINDBODY WELLNESS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEISHA ANDERSON L.AC (ACUPUNCTURIST)
(414) 367-7023
Entity
Organization
Contact information
Practice address
3174 S HOWELL AVE, MILWAUKEE, WI 53207-2625
(414) 367-7023
Mailing address
3174 S HOWELL AVE, MILWAUKEE, WI 53207-2625
(414) 367-7023
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
133N00000X
Nutritionist
—
—
171100000X
Acupuncturist
Primary
—
—
225700000X
Massage Therapist
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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