National Provider Identifier
Marissa Katherine Wise, LMT
Marissa Katherine Wise, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Cohocton, NY and a listed phone number of (585) 704-1624.
Profile Overview
- NPI
- 1447727268
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- October 30, 2018
- Last Updated
- October 30, 2018
Practice Location
- 28 Maple Ave
- Cohocton, NY 14826-9998
Phone: (585) 704-1624
Mailing Address
- 3 Park Ave
- Cohocton, NY 14826-9401
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1447727268
- Entity Type
- Individual
- Last Name
- Wise
- First Name
- Marissa
- Middle Name
- Katherine
- Credential
- LMT
- Mailing Street Address
- 3 Park Ave
- Mailing City
- Cohocton
- Mailing State
- NY
- Mailing ZIP Code
- 14826-9401
- Mailing Country
- US
- Mailing Phone
- (585) 944-8700
- Practice Street Address
- 28 Maple Ave
- Practice City
- Cohocton
- Practice State
- NY
- Practice ZIP Code
- 14826-9998
- Practice Country
- US
- Practice Phone
- (585) 704-1624
- Enumeration Date
- October 30, 2018
- Last Updated
- October 30, 2018
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)