Provider Demographics
NPI:1295496248
Name:MILWAUKEE REIKI, LLC
Entity type:Organization
Organization Name:MILWAUKEE REIKI, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:MONTOYA
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:414-274-9621
Mailing Address - Street 1:6767 W GREENFIELD AVE STE LL3
Mailing Address - Street 2:
Mailing Address - City:WEST ALLIS
Mailing Address - State:WI
Mailing Address - Zip Code:53214-4967
Mailing Address - Country:US
Mailing Address - Phone:414-274-9621
Mailing Address - Fax:
Practice Address - Street 1:6767 W GREENFIELD AVE STE LL3
Practice Address - Street 2:
Practice Address - City:WEST ALLIS
Practice Address - State:WI
Practice Address - Zip Code:53214-4967
Practice Address - Country:US
Practice Address - Phone:414-274-9621
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-03
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty