Mr. Gregory W. Heisel LMT
Massage Therapist in Chetek, WI(View on Map)
Full Name
Mr. Gregory William Heisel LMT
NPI Number
1215383914
NPI Type
Individual Provider
Gender
Male
Enumeration Date
05/11/2016
Specialties
(Taxonomies)Licenses
State
Wisconsin
License Number
10909146
Contact
Information
Purpose
Mailing
Location
Address
423 7TH ST
813 2ND ST
City
Chetek
Chetek
State
WI
WI
Postal Code
54728-9105
54728-2801
Country
US
US
Telephone Number
(715) 924-4909
(715) 924-4909
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 05/11/2016