Individual
ANNIE WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
N108W16991 HAWTHORNE DR, GERMANTOWN, WI 53022-5612
(262) 623-0856
Mailing address
N108W16991 HAWTHORNE DR, GERMANTOWN, WI 53022-5612
(262) 623-0856
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15790-146
WI
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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