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Ms. Mary Claire Stillman, LMT
Massage Therapist in Mequon, Wisconsin
NPI 1023589835

Mary Claire Stillman is a Massage Therapist based in Bayside, WI. Mary Claire Stillman practices in Mequon, WI and has the professional credentials of LMT. The NPI Number for Mary Claire Stillman is 1023589835 and holds a License No. 14789-146 (Wisconsin).

The current practice location address for Mary Claire Stillman is 10134 N Port Washington Rd, Mequon, WI and can be reached out via phone at 414-303-5915. You can also correspond with Mary Claire Stillman through the mailing address at 9109 N TENNYSON DR, BAYSIDE, WI - 53217-1970 (mailing address contact number: ).

Location: 10134 N Port Washington Rd, Mequon, WI, 53217-1970
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023589835
Provider Name
Mary Claire Stillman
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
10134 N Port Washington Rd, Mequon, WI, 53217-1970
Phone Number
414-303-5915
Fax Number
Provider Enumeration Date
12/06/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
14789-146 01 WI DEPARTMENT OF SAFETY & PROFESSIONAL SERVICES
institution
Provider Business Practice Location Address Details
Address
10134 N Port Washington Rd
City
Mequon
State
Wisconsin
Zip
53092-5700
Phone Number
414-303-5915
Fax Number
person
Provider Business Mailing Address Details
Address
10134 N Port Washington Rd
City
Mequon
State
Wisconsin
Zip
53092-5700
Phone Number
414-303-5915
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
14789-146 (Wisconsin)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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