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Clara Denise Wisener, LMP
Massage Therapist in Republic, Washington
NPI 1952438665

Clara Denise Wisener is a Massage Therapist based in Republic, WA. Clara Denise Wisener practices in Republic, WA and has the professional credentials of LMP. The NPI Number for Clara Denise Wisener is 1952438665 and holds a License No. MA00017276 (Washington).

The current practice location address for Clara Denise Wisener is 720 S Clark Ave, Republic, WA and can be reached out via phone at 509-775-0233 and via fax at 509-775-8029.

Location: 720 S Clark Ave, Republic, WA, 99166-0312
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952438665
Provider Name
Clara Denise Wisener
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
720 S Clark Ave, Republic, WA, 99166-0312
Phone Number
509-775-0233
Fax Number
509-775-8029
Provider Enumeration Date
02/28/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
720 S Clark Ave
City
Republic
State
Washington
Zip
99166
Phone Number
509-775-0233
Fax Number
509-775-8029
person
Provider Business Mailing Address Details
Address
720 S Clark Ave
City
Republic
State
Washington
Zip
99166
Phone Number
509-775-0233
Fax Number
509-775-8029
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA00017276 (Washington)
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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