| Melanie Jacobsen, | |
|
153 S Main St, Shawano, WI 54166-2357 | |
| (715) 201-1081 | |
| Not Available |
| Full Name | Melanie Jacobsen |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 153 S Main St, Shawano, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699505149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 1556146 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Melanie Jacobsen, 153 S Main St, Shawano, WI 54166-2357 Ph: (715) 201-1081 | Melanie Jacobsen, 153 S Main St, Shawano, WI 54166-2357 Ph: (715) 201-1081 |
Nicholas Uttecht, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 153 S Main St, Shawano, WI 54166 Phone: 715-201-1081 Fax: 715-350-6767 |
Alexis Lillian Michonski, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 153 S Main St, Shawano, WI 54166 Phone: 715-201-1081 |