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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RUSSELL LYLE JOHN REIMER JR., LMT

Active Sole Proprietor

RUSSELL LYLE JOHN REIMER JR., LMT is a Massage Therapist healthcare provider located in DE PERE, Wisconsin. NPI 1467271239 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · DE PERE, WI

Registration Details

NPI Number
1467271239
Provider Type
Individual
Gender
Male
NPI Issued
Oct 8, 2024 (1.8238595713727 yrs)
Last Updated
Oct 8, 2024
License
12421-46 (WI)
Sole Proprietor
Yes

Practice Information

Address
109 N WISCONSIN ST
DE PERE, WI, 54115
Browse WI providers · Browse ZIP 54115
Phone
9205446840
Primary Specialty
Massage Therapist
225700000X

Other Massage Therapist Providers in DE PERE, WI

Name Credential NPI
MICHELLE M HALL LMT 1225753189
AMINA ERICKSON 1295433910
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.