ALLIESON ELIZABETH MIRSBERGER (NPI# 1417498254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417498254 |
| Entity Type | Individual |
| Full Name | ALLIESON ELIZABETH MIRSBERGER |
| Credential | LMT |
| Practice Address |
421 Camelot Dr Fond Du Lac WI 54935-8335 |
| Mailing Address |
420 E Division St Fond Du Lac WI 54935-4560 |
| Practice Telephone | 9209268616 |
| Mailing Telephone | 9209268616 |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2017-03-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 13321-146 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
421 CAMELOT DR |
| City | FOND DU LAC |
| State | WI |
| Zip Code | 54935-8335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366433435 | Elizabeth S Bensen | Physical Medicine & Rehabilitation | 421 Camelot Dr, Fond Du Lac, WI 54935-8335 | 2005-10-28 |
| 1962028522 | Kelley Cantu | Massage Therapist | 421 Camelot Dr, Fond Du Lac, WI 54935-8335 | 2020-06-19 |
| 1306473780 | Samantha Jo Krones | Physician Assistant | 421 Camelot Dr, Fond Du Lac, WI 54935-8335 | 2020-03-25 |
| 1962975292 | Tyler Schwarz | Specialist/Technologist | 421 Camelot Dr, Fond Du Lac, WI 54935-8335 | 2019-01-09 |
| 1154808491 | Greta Marie Breckbill | Audiologist | 421 Camelot Dr, Fond Du Lac, WI 54935 | 2018-07-19 |
| 1861991424 | Jacklyn Osborne | Nurse Practitioner | 421 Camelot Dr, Fond Du Lac, WI 54935-8335 | 2018-02-08 |
| 1932620689 | Michael Schraufnagel | Physical Therapist | 421 Camelot Dr, Fond Du Lac, WI 54935-8335 | 2017-07-03 |
| 1477083608 | Tristan G Brown | Optometrist | 421 Camelot Dr, Fond Du Lac, WI 54935-8335 | 2017-06-20 |
| 1306379433 | Ashley Beyer | Specialist/Technologist | 421 Camelot Dr, Fond Du Lac, WI 54935-8335 | 2017-04-05 |
| 1598219826 | Margaret Miller Boyd | Acupuncturist | 421 Camelot Dr, Fond Du Lac, WI 54935-8335 | 2016-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482249 | Keziah Sherri Love | Counselor | W390 Wi-23, Fond Du Lac, WI 54935 | 2020-09-18 |
| 1891341988 | Cynthia Louise Singleton | Nurse Practitioner | 16 E 13th St., Fond Du Lac, WI 54935 | 2019-08-14 |
| 1083183297 | Elena Alexandra Giese | Nurse Practitioner | 430 E. Division St, Fond Du Lac, WI 54935 | 2018-11-16 |
| 1669963740 | Elizabeth Anne Machi | Student in an Organized Health Care Education/Training Program | 885 Western Ave Ste 300, Fond Du Lac, WI 54935 | 2018-05-23 |
| 1184150021 | Jordan Moehn | Specialist/Technologist | 633 Prairie Pkwy, Fond Du Lac, WI 54935 | 2017-05-11 |
| 1467856336 | Chuentao Ho | Specialist/Technologist | 45 South National Ave., Fond Du Lac, WI 54935 | 2014-10-21 |
| 1437587961 | Paula Seeley | Nurse Practitioner | 63 West Pioneer Rd, Fond Du Lac, WI 54935 | 2013-10-18 |
| 1144516030 | Bonnie Kay Mallon | Registered Nurse | 118 E 9th St, Fond Du Lac, WI 54935 | 2011-06-20 |
| 1770885600 | Holly Shepard | Counselor | 23 W Scott St., Fond Du Lac, WI 54935 | 2010-11-29 |
| 1437479110 | Ruth Marie Bohn | Occupational Therapy Assistant | 244 North Macy Street, Fond Du Lac, WI 54935 | 2010-06-04 |
| Find all providers in zip 54935 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821529629 | Lynn Marie Kutz | Massage Therapist | 224 Ledgeview Ave, Fond Du Lac, WI 54935-3642 | 2017-03-23 |
| 1255636536 | Tamara St. Theresa Stone | Massage Therapist | 952 S Park Ave, Fond Du Lac, WI 54935-8041 | 2011-01-19 |
| 1366512998 | Renee Louise Waters | Massage Therapist | 747 Crestview Ln, Fond Du Lac, WI 54935-6404 | 2006-11-09 |
| 1962028522 | Kelley Cantu | Massage Therapist | 421 Camelot Dr, Fond Du Lac, WI 54935-8335 | 2020-06-19 |
| 1467877837 | No Knots Therapeutic Massage | Massage Therapist | 976 E Johnson St Ste 900, Fond Du Lac, WI 54935-9747 | 2014-02-21 |
| 1427473883 | Rebecca Vanderloop | Massage Therapist | 976 E Johnson St Ste 900, Fond Du Lac, WI 54935-9747 | 2014-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749548 | Cindy Ann Pinnow | Massage Therapist | 443 W Main St, Waukesha, WI 53186-4612 | 2020-10-27 |
| 1114526068 | Berevon Tayshawn Wyatt | Massage Therapist | 3510 N Oakland Ave Ste 206, Milwaukee, WI 53211-2746 | 2020-10-21 |
| 1881292035 | Chrysta Beyer | Massage Therapist | 117 W Good Hope Rd, Glendale, WI 53217-3857 | 2020-10-10 |
| 1861099608 | Kaitlin Gelbmann | Massage Therapist | 920 W City Highway 16 Ste A, West Salem, WI 54669-1952 | 2020-10-05 |
| 1447867346 | Evolve Massage LLC | Massage Therapist | 1777 W Main St Ste 106, Sun Prairie, WI 53590-3100 | 2020-09-25 |
| 1174139646 | Rachel Plowman | Massage Therapist | 2911 Blue Aster Blvd, Sun Prairie, WI 53590-4691 | 2020-09-21 |
| 1003422569 | Reeyanana Salet Cha | Massage Therapist | 12201 W Burleigh St Ste 6, Wauwatosa, WI 53222-3102 | 2020-09-21 |
| 1659986453 | Kristin Allie Costello | Massage Therapist | S31w24757 W Sunset Dr, Waukesha, WI 53189-7014 | 2020-09-09 |
| 1073124376 | Maria Victoria Gutierrez | Massage Therapist | 2702 Monroe St Ste 110, Madison, WI 53711-1896 | 2020-08-11 |
| 1699393082 | Laura Lynn Leyh | Massage Therapist | 1907 American Dr Ste B3, Neenah, WI 54956-1236 | 2020-07-11 |
| Find all providers with the same taxonomy | ||||
| City | FOND DU LAC |
| Zip Code | 54935 |
Please comment or provide details below to improve the information on ALLIESON ELIZABETH MIRSBERGER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.