Most Relevant Information
Provider Data
| NPI Number: | 1003422569 |
| Provider Name: | REEYANANA SALET CHA MASSAGE THERAPIST |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 4818-146 |
Most Important Dates
| Enumeration Date: | 09/21/2020 |
| Last Updated: | 09/21/2020 |
Provider Practice Location
12201 W BURLEIGH ST STE 6
WAUWATOSA
WI
532223102
Practice Location Phone/Fax
| Phone: | 2627514936 |
| Fax: |
Provider Mailing Location
2760 PRINCETON RD
BROOKFIELD
WI
530053845
Provider Mailing Phone/Fax
| Phone: | 2627514926 |
| Fax: |