NPI 1023589835

Mary Claire Stillman, LMT

Practitioner Massage Therapist Mequon, WI

Practice location

Address: 10134 N Port Washington Rd, Mequon, WI 53092-5700
Phone: (414) 303-5915
Mailing address: 9109 N Tennyson Dr, Bayside, WI 53217-1970

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 14789-146 (WI)

Other Massage Therapist providers in Wisconsin →

Registry record

NPI: 1023589835
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Dec 2018
Record last updated: 6 Dec 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.