Most Relevant Information
Provider Data
| NPI Number: | 1003443557 |
| Provider Name: | ANDREA LYNN DINAUER LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 1455-146 |
Most Important Dates
| Enumeration Date: | 03/25/2020 |
| Last Updated: | 03/25/2020 |
Provider Practice Location
1020 N 12TH ST FL 4
MILWAUKEE
WI
532331308
Practice Location Phone/Fax
| Phone: | 4142195908 |
| Fax: |
Provider Mailing Location
1020 N 12TH ST FL 4
MILWAUKEE
WI
532331308
Provider Mailing Phone/Fax
| Phone: | 4142195908 |
| Fax: |