MS. Diane Therese Willis, LMT

NPI #1144857343 in Pewaukee, Wisconsin

Provider Information

NPI Number
1144857343
Entity Type
Individual
Name
MS. Diane Therese Willis, LMT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Massage Therapist
Credential
LMT
Enumeration Date
Mar 26, 2020
Last Updated
Mar 26, 2020

Practice Location

Address
580 FOXTAIL DR APT 101
ZIP Code
53072-2492
Phone
(262) 719-4349

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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