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NPI Code Detail

MEDICARE: SHI LI ZHANG LMT

MEDICARE: SHI LI ZHANG LMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist15014-146WI

General Provider Information

NPI Number : 1558901389
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHI LI ZHANG LMT
Provider Business Mailing Address
First Line : 106 S HOLMEN DR STE 2
Second Line :
City : HOLMEN
State : WI
Zip : 54636-9468
Country : US
Telephone Number : 608-526-9888
Fax Number : 608-526-9965
Provider Business Practice Location Address
First Line : 106 S HOLMEN DR STE 2
Second Line :
City : HOLMEN
State : WI
Zip : 54636-9468
Country : US
Telephone Number : 608-526-9888
Fax Number : 608-526-9965
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2020
Last Update Date : 01/09/2020

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Directions to “ SHI LI ZHANG LMT” Practice Location

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