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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
600 UNIVERSITY AVE W STE 10 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55103-1939 |
| 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 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 |
|---|---|---|---|---|
| 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 | ||||
| City | SAINT PAUL |
| Zip Code | 55103 |
Please comment or provide details below to improve the information on PAULETTE M WISNOM.
| 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.