MR. Wade Rio Wutschke, LMT
NPI #1134549405 in St Anthony, Minnesota
Provider Information
- NPI Number
- 1134549405
- Entity Type
- Individual
- Name
- MR. Wade Rio Wutschke, LMT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- LMT
- Enumeration Date
- Apr 24, 2014
- Last Updated
- Apr 24, 2014
Practice Location
- Address
- 2500 HIGHWAY 88
- Address 2
- SUITE 219
- City
- St Anthony
- State
- Minnesota
- ZIP Code
- 55418-4223
- Phone
- (612) 554-9390
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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