MKE MINDBODY WELLNESS INC.; NPI #1548735087

Contact Information

MKE MINDBODY WELLNESS INC.

3174 S HOWELL AVE
MILWAUKEE, WI 53207-2625

Phone: 414-367-7023
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Acupuncturist	171100000X
Clinic/Center	261Q00000X
Massage Therapist	225700000X
Nutritionist	133N00000X
Psychologist	103T00000X	62	Psychologist, Clinical

Indicates primary specialty

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NPI Profile & details for MKE MINDBODY WELLNESS INC.

NPI #	`1548735087`
LBN Legal business name	MKE MINDBODY WELLNESS INC.
Authorized official	ALEISHA ANDERSON - (ACUPUNCTURIST)
Entity	Organization
Organization subpart ¹	No
Enumeration date	10/11/2018
Last updated	10/11/2018 - About 8 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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