Individual
TEIA ANN WAGENSCHUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
995 MILLER RD, PLAINWELL, MI 49080-1077
(269) 685-8034
Mailing address
911 MARSH RD, PLAINWELL, MI 49080-9310
(269) 685-5758
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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