PAULETTE M WISNOM


Address: 600 University Ave W Ste 10, Saint Paul, MN 55103-1939
Phone: 6516467246

PAULETTE M WISNOM (NPI# 1740837855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740837855
Entity Type Individual
Full Name PAULETTE M WISNOM
Credential CMT
Practice Address 600 University Ave W Ste 10
Saint Paul
MN 55103-1939
Mailing Address Po Box 251141
Saint Paul
MN 55125-6141
Practice Telephone 6516467246
Mailing Telephone 6085205549
Enumeration Date 2019-08-22
Last Update Date 2019-08-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 600 UNIVERSITY AVE W STE 10
City SAINT PAUL
State MN
Zip Code 55103-1939

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972148161 Najma Group Home LLC Home Health 494 Aurora Ave, St Paul, MN 55103 2019-11-12
1164910121 Linda's A Mother's Touch Registered Nurse 727 Front Ave Apt 606, St. Paul, MN 55103 2018-04-25
1215432380 Olidia Transit Inc Non-emergency Medical Transport (VAN) 476 W Minnehaha Ave, Saint Paul, MN 55103 2018-03-29
1730579764 Leah Angela Vibar Chiropractor 616 Rice Street Ste. B, Moua-lor Chiropractic & Acupuncture, P.a., St. Paul, MN 55103 2015-01-29
1629372479 Korme Koji Registered Nurse 413 Central Avenue, St Paul, MN 55103 2011-01-07
1427360114 Olydia Home Care Inc Home Health 476 West Minnehaha Ave, Saint Paul, MN 55103 2010-07-09
1699908277 Kathleen Mae Borchert Clinical Nurse Specialist 559 Capitol Bloulevard, St. Paul, MN 55103 2009-08-28
1164690442 Chong Pao Thao Technician 23 Empire Drive, Suite 123, St Paul, MN 55103 2008-02-20
1245366806 Quality Plus Home Healthcare Services Inc Home Health 383 University Ave W. Upper, St Paul, MN 55103 2007-02-26
1023176286 Amherst H. Wilder Foundation Assisted Living Facility 280 Ravoux St, Saint Paul, MN 55103 2006-12-04
Find all providers in zip 55103

Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447859467 Amdemichael Retta Massage Therapist 1260 Larpenteur Ave W Apt 320, Saint Paul, MN 55113-6324 2020-10-21
1285247932 Root and Branch LLC Massage Therapist 965 Payne Ave, Saint Paul, MN 55130-4194 2020-08-24
1942766068 Katrina Jean Cordes Massage Therapist 2550 University Ave W # 244south, Saint Paul, MN 55114-1052 2019-02-13
1649746199 Peter Cairns Massage Therapist 1894 Summit Ave, Saint Paul, MN 55105-1427 2018-10-22
1801391941 Center for Integrative Massage, LLC Massage Therapist 1053 Grand Ave Ste 113, Saint Paul, MN 55105-3074 2018-03-29
1699215319 Ryan M Herst Massage Therapist 1445 Jessamine Ave W, Apt 307, Saint Paul, MN 55108-2684 2017-02-28
1669911913 Amy Yang Massage Therapist 78 Magnolia Ave West, Saint Paul, MN 55117-4913 2017-02-20
1831555663 April Aegerter Massage Therapist 764 Lexington Pkwy N, Saint Paul, MN 55104-1435 2016-01-09
1124423314 Julie Hartmans Massage Therapist 693 Wilson Ave Apt 3, Saint Paul, MN 55106-6638 2014-10-30
1295161073 Celestial Touch Massage Center LLC Massage Therapist 175 Milton St N, Saint Paul, MN 55104-6527 2013-09-24
Find all providers in SAINT PAUL

Competitor

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City SAINT PAUL
Zip Code 55103

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Dataset Information

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.

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