Female

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

Provider Address

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