Organization
WATER STREET MASSAGE SPA LLC
Active
Other names
water Street Massage spa LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LASHONTA WRENCHER MASSAGE THERPIST (OWNER)
(414) 578-7447
Entity
Organization
Contact information
Practice address
823 N 2ND ST STE 102, MILWAUKEE, WI 53203-1819
(414) 273-9799
Mailing address
823 N 2ND ST STE 102, MILWAUKEE, WI 53203-1819
(414) 273-9799
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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