Individual
KATHLEEN GIESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, BCTMB
Contact information
Practice address
E19410 MILLER RD, WATERSMEET, MI 49969-9718
(920) 948-8836
Mailing address
E19410 MILLER RD, WATERSMEET, MI 49969-9718
(920) 948-8836
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
4377-146
WI
225700000X
Massage Therapist
Primary
7501014193
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7501014193
AUTO OWNERS INSURANCE
MI
05
—
7501014193
—
MI
Enumeration date
12/28/2015
Last updated
03/23/2022
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