Healthcare Provider Details

I. General information

NPI: 1437435153
Provider Name (Legal Business Name): VINETA CAUNE-MEYER LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2011
Last Update Date: 10/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 WASHINGTON ST.
BRILLION WI
54110-1213
US

IV. Provider business mailing address

211 WASHINGTON ST.
BRILLION WI
54110-1213
US

V. Phone/Fax

Practice location:
  • Phone: 920-756-2581
  • Fax:
Mailing address:
  • Phone: 920-756-2581
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number3977-146
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: