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Mr. Wade Rio Wutschke, LMT
Massage Therapist in St Anthony, Minnesota
NPI 1134549405

Wade Rio Wutschke is a Massage Therapist based in New Brighton, MN. Wade Rio Wutschke practices in St Anthony, MN and has the professional credentials of LMT. The NPI Number for Wade Rio Wutschke is 1134549405 and holds a License No. (Minnesota).

The current practice location address for Wade Rio Wutschke is 2500 Highway 88, St Anthony, MN and can be reached out via phone at 612-554-9390.

Location: 2500 Highway 88, St Anthony, MN, 55112-6840
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134549405
Provider Name
Wade Rio Wutschke
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
2500 Highway 88, St Anthony, MN, 55112-6840
Phone Number
612-554-9390
Fax Number
Provider Enumeration Date
04/24/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2500 Highway 88
City
St Anthony
State
Minnesota
Zip
55418-4223
Phone Number
612-554-9390
Fax Number
person
Provider Business Mailing Address Details
Address
2500 Highway 88
City
St Anthony
State
Minnesota
Zip
55418-4223
Phone Number
612-554-9390
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
()
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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