Heidi Cranston
Individual provider Active NPI Massage Therapist · Whitefish Bay, WI
NPI 1831490804 · NPPES record last updated Nov 8, 2010
Key facts
- NPI
- 1831490804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 5049-046 (WI)
- Practice address
- 312 E Silver Spring Dr
Whitefish Bay, WI 53217-5221 - Phone
- (414) 332-3260
- Fax
- (262) 364-2325
- NPI assigned
- Nov 8, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 5049-046 | WI | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Etm Milwaukee LLC | Massage Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 5049-046 | WI | Yes |
Addresses
Primary practice location
312 E Silver Spring Dr
Whitefish Bay, WI 53217-5221
Mailing address
312 E Silver Spring Dr
Whitefish Bay, WI 53217-5221
Phone (414) 332-3260
Other providers in Whitefish Bay, WI
- Joel Clawson
- Sarah Conant
- Elizabeth Conrath
- Courtney Speech and Language Services LLC
- Caitlin Elizabeth Courtney
- Cumare LLC
- Dan Fitzgerald Pharmacy,Inc
- Joseph Davey
- Aryeh Leib Devorkin
- Joseph Anthony Diguiseppi
All providers in Whitefish Bay, WI · Massage Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2010. 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.