Individual
BRENDA FULLICK WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
109 1/2 N 2ND AVE, WINTERSET, IA 50273-1657
(515) 468-5533
Mailing address
2478 MILLSTREAM AVE, WINTERSET, IA 50273-8124
(515) 468-5533
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
006250
IA
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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