MEDICARE: KREG JOHN GREER 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
1	225700000X	Massage Therapist	15582-146	WI

General Provider Information

NPI Number	:	1942163787
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KREG JOHN GREER LMT

Provider Business Mailing Address
First Line	:	2011 N 57TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53208-1617
Country	:	US
Telephone Number	:	906-360-8192
Fax Number	:

Provider Business Practice Location Address
First Line	:	6123 W NORTH AVE
Second Line	:
City	:	WAUWATOSA
State	:	WI
Zip	:	53213-1529
Country	:	US
Telephone Number	:	906-360-8192
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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Directions to “ KREG JOHN GREER LMT” Practice Location

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