Tami Brianna Wade, LMT 3708-146

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

3708-146 Issued in WI

Practice address

620 E Green Bay Ave Ste 104
Saukville, WI 53080-2039

Phone

(262) 284-0022

Fax

(855) 798-9891

NPI assigned

May 15, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Saukville Chiropractic Wellness Center Inc.

  • Chiropractor
  • Saukville, WI
  • NPI 1245407568

  Massage Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1073780243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 E GREEN BAY AVE STE 104",
            "city": "SAUKVILLE",
            "state": "WI",
            "postal_code": "530802039",
            "telephone_number": "262-284-0022",
            "fax_number": "855-798-9891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 E GREEN BAY AVE STE 104",
            "city": "SAUKVILLE",
            "state": "WI",
            "postal_code": "530802039",
            "telephone_number": "262-284-0022",
            "fax_number": "855-798-9891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "TAMI",
        "middle_name": "BRIANNA",
        "name_prefix": "Mrs.",
        "credential": "LMT 3708-146",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-15",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WI",
            "license": "3708-146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather A Szamocki, PA
• Margaret R Techtman, RN
• Calvin Donald Thomas, P.T.
• Kelly Thompson
• Village of Saukville
• Ty C. Wade, DC
• Wal-Mart Stores East LP
• Wal-Mart Stores East LP
• Walgreen Co
• Matthew D Weege, R.PH.

• Massage Therapist in Saukville, WI
• Providers in Saukville, WI by specialty
• Massage Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.