Jolene Catherine Wiese, CMT

NPI #1093948838 in Bloomington, Minnesota

Provider Information

NPI Number: 1093948838
Entity Type: Individual
Name: Jolene Catherine Wiese, CMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: CMT
Enumeration Date: Aug 27, 2009
Last Updated: Aug 27, 2009

Practice Location

Address: 5001 AMERICAN BLVD W STE 945
City: Bloomington
State: Minnesota
ZIP Code: 55437-1162
Phone: (952) 835-6653

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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