Water Street Massage Spa LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

WATER STREET MASSAGE SPA LLC

Practice address

823 N 2ND St Ste 102
Milwaukee, WI 53203-1819

Phone

(414) 273-9799

NPI assigned

May 3, 2023

Organization subpart

No

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

Authorized official

Name

Lashonta Wrencher, MASSAGE THERPIST

Title

Owner

Phone

(414) 578-7447

Specialties & licenses 1

Addresses

Other names 1

• water Street Massage spa LLC Former legal business name

Locations

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1972292233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 N 2ND ST STE 102",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532031819",
            "telephone_number": "414-273-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 N 2ND ST STE 102",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532031819",
            "telephone_number": "414-273-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATER STREET MASSAGE SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "WRENCHER",
        "authorized_official_first_name": "LASHONTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-578-7447",
        "authorized_official_credential": "MASSAGE THERPIST"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "water Street Massage spa LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Melanie Wasserman, MSW
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• Kathleen A Waterhouse-Skibicki, CRNA
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• Richard D. Waters, MD
• Debra Ann Watford

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.