Doctor Name: | SARA PIONTEK |
NPI Number: | 1265841944 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 2699-146 |
Business Practice Address: | 17187 Twin Pines Rd Lakewood, WI - 541389300 |
Business Phone Number: | 7152761767 |
Business Fax Number: | |
Mailing Address: | 4000 N Providence Ave, APPLETON |
State: | WI |
Postal Code: | 549138018 |
Phone Number: | 9202572000 |
Fax Number: | 9202572004 |
NPI Enumeration Date: | 08/07/2014 |
NPI Last Update Date: | 08/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 2699-146 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |