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NPI Code Detail

MEDICARE: MRS. PAMELA ANNE SCHALL MASSAGE THERAPIST

MEDICARE:  MRS. PAMELA ANNE SCHALL  MASSAGE THERAPIST
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
1171W00000XContractor247-046WI

General Provider Information

NPI Number : 1982850343
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PAMELA ANNE SCHALL MASSAGE THERAPIST
Provider Business Mailing Address
First Line : 1201 OAK ST
Second Line : SUITE Q
City : WEST BEND
State : WI
Zip : 53095-3800
Country : US
Telephone Number : 262-247-0026
Fax Number :
Provider Business Practice Location Address
First Line : 1201 OAK ST
Second Line : SUITE Q
City : WEST BEND
State : WI
Zip : 53095-3800
Country : US
Telephone Number : 262-247-0026
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2008
Last Update Date : 08/16/2008

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Directions to “ MRS. PAMELA ANNE SCHALL MASSAGE THERAPIST” Practice Location

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