LEE ANN LAES (NPI# 1801290275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801290275 |
| Entity Type | Individual |
| Full Name | LEE ANN LAES |
| Practice Address |
681 Baeten Rd Suite C Green Bay WI 54304-4860 |
| Mailing Address |
681 Baeten Rd. Suite C Green Bay WI 54304 |
| Practice Telephone | 9208573056 |
| Mailing Telephone | 9208573056 |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2014-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 10590-146 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
681 BAETEN RD SUITE C |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54304-4860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689196255 | Kristen Ashley Haltom | Registered Nurse | 2979 Allied St Suite C, Green Bay, WI 54304 | 2017-07-14 |
| 1649671421 | Heather Marie Novak | Counselor | 2979 Allied St Unit C, Green Bay, WI 54304 | 2014-09-11 |
| 1356777684 | Nathan Weir | Specialist/Technologist | 1265 Lombardi Avenue, Green Bay, WI 54304 | 2013-09-18 |
| 1922349927 | John W Hartman | Internal Medicine | 916 Willard Dr, Suite 200, Green Bay, WI 54304 | 2013-03-15 |
| 1447551379 | Citralina M Haruo | Community Health Worker | 1110 11th Avenue, Green Bay, WI 54304 | 2010-11-09 |
| 1497061352 | Daniel James Gustin | Pharmacist | 1109 Lombardi Ave, Green Bay, WI 54304 | 2010-08-28 |
| 1316259898 | Karen A Detrick | Occupational Therapy Assistant | 1040 Pilgram Way, Woodside Senior Communities, Green Bay, WI 54304 | 2010-07-13 |
| 1861667362 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 2605 S. Oneida St. Suite 107, Green Bay, WI 54304 | 2008-04-25 |
| 1891967303 | Kimberley M Welk | Marriage & Family Therapist | 926 Willard Dr Ste 136, Green Bay, WI 54304 | 2008-03-25 |
| 1750563698 | Richard Lawrence Beyer | Hearing Instrument Specialist | 2154 S Ridge Rd, Green Bay, WI 54304 | 2007-12-03 |
| Find all providers in zip 54304 | ||||
| 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 |
|---|---|---|---|---|
| 1275067381 | Sonia Menning | Massage Therapist | 321 Saint George St, Green Bay, WI 54302-1310 | 2017-04-14 |
| 1003141748 | Tonya L Christoph | Massage Therapist | 2638 Tulip Ln Ste B, Green Bay, WI 54313-2801 | 2009-10-14 |
| 1225202500 | Amy M. Heiser | Massage Therapist | 348 E Le Capitaine Cir, Green Bay, WI 54302-5158 | 2008-04-17 |
| 1588279756 | Toni M Pullen | Massage Therapist | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2020-09-14 |
| 1639783202 | Angela Dhuey | Massage Therapist | 1160 Kepler Dr, Green Bay, WI 54311-8321 | 2020-09-01 |
| 1912511585 | Marilee Petasek | Massage Therapist | 1160 Kepler Dr, Green Bay, WI 54311-8321 | 2020-09-01 |
| 1851930119 | Tamara C Johnson | Massage Therapist | 2641 Development Dr, Green Bay, WI 54311-4240 | 2020-01-03 |
| 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 | ||||
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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.