Provider Demographics
NPI:1497513949
Name:NATURAL THERAPEUTICS WELLNESS LLC
Entity Type:Organization
Organization Name:NATURAL THERAPEUTICS WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MASSAGE THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:M
Authorized Official - Last Name:EMANUELE
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:262-796-1195
Mailing Address - Street 1:N63W24025 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SUSSEX
Mailing Address - State:WI
Mailing Address - Zip Code:53089-3001
Mailing Address - Country:US
Mailing Address - Phone:262-796-1195
Mailing Address - Fax:
Practice Address - Street 1:N63W24025 MAIN ST
Practice Address - Street 2:
Practice Address - City:SUSSEX
Practice Address - State:WI
Practice Address - Zip Code:53089-3001
Practice Address - Country:US
Practice Address - Phone:262-796-1195
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty