Doctor Name: | MRS. JULIANNE HELEN MANTERNACH AVENARIUS |
NPI Number: | 1538131040 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NCLTMBC |
License Number: | 00800 |
Business Practice Address: | 504 Madison St Se Cascade, IA - 52033 |
Business Phone Number: | 5638527467 |
Business Fax Number: | |
Mailing Address: | 504 Madison St Se, CASCADE |
State: | IA |
Postal Code: | 52033 |
Phone Number: | 5638527467 |
Fax Number: | |
NPI Enumeration Date: | 02/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 00800 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
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. |