Virginia F Pawlak
Individual provider Active NPI Massage Therapist · Alma, WI
NPI 1013422641 · NPPES record last updated Dec 5, 2017
Key facts
- NPI
- 1013422641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 14456 (WI)
- Practice address
- 115 S Main St
Alma, WI 54610-7712 - Phone
- (608) 685-6400
- NPI assigned
- Dec 5, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14456 | WI | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 14456 | WI | Yes |
Addresses
Primary practice location
115 S Main St
Alma, WI 54610-7712
Mailing address
115 S Main St
Alma, WI 54610-7712
Phone (608) 418-0756
Other providers in Alma, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.