NPI 1366113573

Tanya Kriesel

Practitioner Massage Therapist Green Bay, WI

Practice location

Address: 2150 Memorial Dr, Green Bay, WI 54303-6335
Phone: (920) 606-1868
Mailing address: 1671 Lenwood Ave APT G, Green Bay, WI 54303-6336

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 5057-146 (WI)

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Registry record

NPI: 1366113573
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Sep 2021
Record last updated: 27 Sep 2021

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.