Mya D. Monteith LMT
Massage Therapist in Rice Lake, WI(View on Map)
Full Name
Mya D. Monteith LMT
NPI Number
1932807591
NPI Type
Individual Provider
Gender
Female
Enumeration Date
02/22/2023
Specialties
(Taxonomies)Code
225700000X
374J00000X
171400000X
174N00000X
Primary Taxonomy
Yes
No
No
No
Licenses
State
Wisconsin
License Number
11559-146
Contact
Information
Purpose
Mailing
Location
Address
2413 105TH ST
610 WEST AVE STE A-2
City
Luck
Rice Lake
State
WI
WI
Postal Code
54853-5141
54868-1386
Country
US
US
Telephone Number
(171) 597-7234
(715) 296-7467
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/22/2023