Provider Demographics
NPI:1720288277
Name:WERNER, MARIA JEANNE (CMT)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:JEANNE
Last Name:WERNER
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11561 ALDER RD
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:MN
Mailing Address - Zip Code:55371-6213
Mailing Address - Country:US
Mailing Address - Phone:763-286-9186
Mailing Address - Fax:
Practice Address - Street 1:410 S RUM RIVER DR
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:MN
Practice Address - Zip Code:55371-2019
Practice Address - Country:US
Practice Address - Phone:763-286-9186
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-23
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist