Xuefen Rex, L.MT

Individual provider Active NPI Massage Therapist · Waukesha, WI

NPI 1073854477 · NPPES record last updated Aug 17, 2015

Key facts

NPI
1073854477
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
4543146 (WI)
Practice address
1428 E Racine Ave
Waukesha, WI 53186-6462
Phone
(262) 832-8888
Fax
(262) 806-0028
NPI assigned
Mar 9, 2013
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4543146WIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Acu-Med Integrative Medicine LLC Past
since Nov 3, 2019
Accepting new patients
Acu-Med Integrative Medicine LLC Past
since Sep 13, 2014
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 4543146 WI Yes

Addresses

Primary practice location

1428 E Racine Ave
Waukesha, WI 53186-6462

Mailing address

1428 E Racine Ave
Waukesha, WI 53186-6462
Phone (262) 832-8888

Other providers in Waukesha, WI

All providers in Waukesha, WI · Massage Therapist in Wisconsin

Sources for this page

Verify at the official NPI Registry.