MKE MINDBODY WELLNESS INC. (NPI# 1548735087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548735087 |
| Entity Type | Organization |
| Organization Name | MKE MINDBODY WELLNESS INC. |
| Practice Address |
3174 S Howell Ave Milwaukee WI 53207-2625 |
| Practice Telephone | 4143677023 |
| Mailing Telephone | 4143677023 |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2018-10-11 |
| Authorized Official Name | ALEISHA ANDERSON (ACUPUNCTURIST) |
| Authorized Official Telephone | 4143677023 |
| Authorized Official Credential | L.AC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 133N00000X | Nutritionist | Dietary & Nutritional Service Providers | ||
| N | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 171100000X | Acupuncturist | Other Service Providers |
| Street Address |
3174 S HOWELL AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53207-2625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316154024 | Christian T. Harteau | Student in an Organized Health Care Education/Training Program | 3174 S Howell Ave, Milwaukee, WI 53207 | 2007-05-16 |
| 1376109496 | Amanda Gawrysz | Acupuncturist | 3174 S Howell Ave, Milwaukee, WI 53207-2625 | 2019-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497304117 | Diane Wisch | Technician | 3602 S. 4th, Mil, WI 53207 | 2019-09-05 |
| 1811384464 | Megan O Bedolla | Emergency Medicine | 2338 E Ohio Ave, Milwaukee, WI 53207 | 2015-04-21 |
| 1255677563 | Jon Arthur Toppen | Counselor | 2637 S Fulton St, Milwaukee, WI 53207 | 2012-12-14 |
| 1720316730 | Paula Maria Ortega Flores | Massage Therapist | 2121 South Kinnickinnic Ave, Suite 3, Milwaukee, WI 53207 | 2009-12-02 |
| 1306087127 | Theron Mills | Counselor | 3073 S. Chase Ave., Suite 326, Milwaukee, WI 53207 | 2009-03-09 |
| 1841438769 | Counseling & Transition Center Inc | Clinic/Center | 3073 S. Chase Ave, Suite 326, Milwaukee, WI 53207 | 2009-01-30 |
| 1679727812 | Well-rounded, LLC | Clinic/Center | 2455 S. Howell Ave., Milwaukee, WI 53207 | 2008-11-14 |
| 1316008303 | Thomas Fisher | Clinical Neuropsychologist | 2419 S. Lenox Street, Milwaukee, WI 53207 | 2006-12-13 |
| 1750470811 | David Alan Duter | Technician, Other | Uscg Sector Lake Michigan/hs Div, 2420 S. Lincoln Memorial Dr., Milwaukee, WI 53207 | 2006-10-12 |
| 1437245537 | Thomas James Forecki | Dentist | 6203 S Howell Ave, Milwaukee, WI 53207 | 2006-10-05 |
| Find all providers in zip 53207 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093346629 | Mary Ann Roeseler | Acupuncturist | 4027 S 2nd St, Milwaukee, WI 53207-4313 | 2020-02-02 |
| 1225668833 | Louis Lei Jin | Acupuncturist | 11308 W Greenfield Ave Unit 1, Milwaukee, WI 53214-2246 | 2020-01-22 |
| 1982187209 | Kellen Murphy Grimm | Acupuncturist | 231 E Buffalo St Ste 306, Milwaukee, WI 53202-5727 | 2018-09-12 |
| 1598286486 | Michele Brielmaier | Acupuncturist | 3082 S Wentworth Ave, Milwaukee, WI 53207-3066 | 2017-06-29 |
| 1285000653 | Krista Mccain | Acupuncturist | 2381 S Kinnickinnic Ave, Milwaukee, WI 53207-1625 | 2015-08-19 |
| 1952777518 | Sulema De La Rosa | Acupuncturist | 4727 S Howell Ave, Milwaukee, WI 53207-5913 | 2015-08-18 |
| 1285027250 | Gentle Dragonfly Acupuncture LLC | Acupuncturist | 5956 N Lovers Lane Rd, Milwaukee, WI 53225-2206 | 2015-03-13 |
| 1609118660 | Heather L Eldridge | Acupuncturist | 3632 W Lakefield Dr, Milwaukee, WI 53215-4135 | 2013-03-18 |
| 1497042568 | Anne Putra | Acupuncturist | 2600 N Booth St, Milwaukee, WI 53212-2909 | 2011-07-08 |
| 1659679231 | Sheri Lm Lee | Acupuncturist | 3401 S Kinnickinnic Ave, Milwaukee, WI 53207-3144 | 2011-03-07 |
| Find all providers in MILWAUKEE | ||||
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| 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.