| Mrs Jacqueline Paula Wiesner, | |
|
13180 N Cleveland Ave Ste 117, North Fort Myers, FL 33903-6230 | |
| (239) 218-3764 | |
| Not Available |
| Full Name | Mrs Jacqueline Paula Wiesner |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 13180 N Cleveland Ave Ste 117, North Fort Myers, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760998173 | NPI | - | NPPES |
| 675966100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MA13010 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jacqueline Paula Wiesner, 4312 S Gulf Cir, North Fort Myers, FL 33903-5046 Ph: (239) 218-3764 | Mrs Jacqueline Paula Wiesner, 13180 N Cleveland Ave Ste 117, North Fort Myers, FL 33903-6230 Ph: (239) 218-3764 |
Alexandra G Bowen Cruzati, MASSAGE THERAPIST Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1912 W Lakeview Blvd, North Fort Myers, FL 33903 Phone: 239-645-1827 | |
Claudia Rodriguez, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 7728 Mcdaniel Dr, North Fort Myers, FL 33917 Phone: 123-989-5692 |