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Alexis Lillian Michonski
Massage Therapist in Shawano, Wisconsin
NPI 1629777206

Alexis Lillian Michonski is a Massage Therapist based in Shawano, WI. Alexis Lillian Michonski practices in Shawano, WI. The NPI Number for Alexis Lillian Michonski is 1629777206 and holds a License No. 17072-146 (Wisconsin).

The current practice location address for Alexis Lillian Michonski is 153 S Main St, Shawano, WI and can be reached out via phone at 715-201-1081.

Location: 153 S Main St, Shawano, WI, 54166-2357
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629777206
Provider Name
Alexis Lillian Michonski
Credential
Provider Entity Type
Individual
Gender
Female
Address
153 S Main St, Shawano, WI, 54166-2357
Phone Number
715-201-1081
Fax Number
Provider Enumeration Date
03/02/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
153 S Main St
City
Shawano
State
Wisconsin
Zip
54166-2357
Phone Number
715-201-1081
Fax Number
person
Provider Business Mailing Address Details
Address
153 S Main St
City
Shawano
State
Wisconsin
Zip
54166-2357
Phone Number
715-201-1081
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
17072-146 (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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