MARILEE PETASEK (NPI# 1912511585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912511585 |
| Entity Type | Individual |
| Full Name | MARILEE PETASEK |
| Practice Address |
1160 Kepler Dr Green Bay WI 54311-8321 |
| Practice Telephone | 9202885400 |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1160 KEPLER DR |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54311-8321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649273129 | Luke Thomas Warpinski | Family Medicine | 1160 Kepler Dr, Green Bay, WI 54311-8321 | 2005-05-27 |
| 1639783202 | Angela Dhuey | Massage Therapist | 1160 Kepler Dr, Green Bay, WI 54311-8321 | 2020-09-01 |
| 1720611981 | Baycare Aurora, LLC | Durable Medical Equipment & Medical Supplies | 1160 Kepler Dr, Green Bay, WI 54311-8321 | 2020-02-17 |
| 1619448727 | Melissa Mary Thompson | Physical Therapist | 1160 Kepler Dr, Green Bay, WI 54311-8321 | 2018-12-16 |
| 1942776919 | Nathan Seitz | Physical Therapist | 1160 Kepler Dr, Green Bay, WI 54311-8321 | 2018-10-17 |
| 1679052104 | Amy E Warden | Nurse Practitioner | 1160 Kepler Dr, Green Bay, WI 54311-8321 | 2018-08-07 |
| 1477052553 | Kristin Kiekhaefer | Specialist/Technologist | 1160 Kepler Dr, Green Bay, WI 54311-8321 | 2018-02-05 |
| 1235647876 | Jordan Robinson | Specialist/Technologist | 1160 Kepler Dr, Green Bay, WI 54311-8321 | 2018-01-17 |
| 1811433816 | Paige E Pernaski | Registered Nurse | 1160 Kepler Dr, Green Bay, WI 54311-8321 | 2017-01-13 |
| 1659722122 | Derek Manz | Occupational Therapist | 1160 Kepler Dr, Green Bay, WI 54311-8321 | 2016-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333847 | Karen Ginnow | Pharmacist | Walmart #1908, 2292 Main St, Green Bay, WI 54311 | 2020-10-15 |
| 1639786551 | Maggie Hall | Dental Hygienist | 2633 Development Dr. Ste 40, Green Bay, WI 54311 | 2020-09-24 |
| 1295370807 | Jennifer Marie Arendt | Technician | 2970 Mossy Oak Cir #39, Green Bay, WI 54311 | 2019-11-07 |
| 1518508803 | Cheryl Ann Johnson | Specialist | 830 Edgewood Dr., Green Bay, WI 54311 | 2019-10-08 |
| 1124670898 | Robert H Wagner Family Dentist S.c. | Dentist | 2830 Curry Court, Suite 1, Green Bay, WI 54311 | 2019-07-12 |
| 1821659624 | The Salvation Army | Counselor | The Salvation Army Ray & Joan Kroc Center, 1315 Lime Kiln Road, Green Bay, WI 54311 | 2019-06-24 |
| 1578052866 | Matthew Robert Wagner | Dentist | 2830 Curry Ln #1, Green Bay, WI 54311 | 2018-05-02 |
| 1861916769 | Atlas Spinal Care | Chiropractor | 2069 Central Ct, Suite 11, Green Bay, WI 54311 | 2017-08-01 |
| 1851844161 | Green Bay Family Dental LLC | Dentist | 2609 Development Dr., Green Bay, WI 54311 | 2016-08-03 |
| 1710382809 | Betsy Hoida | Pharmacist | 2485 Greenbrier Rd., Green Bay, WI 54311 | 2014-10-31 |
| Find all providers in zip 54311 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275067381 | Sonia Menning | Massage Therapist | 321 Saint George St, Green Bay, WI 54302-1310 | 2017-04-14 |
| 1801290275 | Lee Ann Laes | Massage Therapist | 681 Baeten Rd, Suite C, Green Bay, WI 54304-4860 | 2014-10-14 |
| 1003141748 | Tonya L Christoph | Massage Therapist | 2638 Tulip Ln Ste B, Green Bay, WI 54313-2801 | 2009-10-14 |
| 1225202500 | Amy M. Heiser | Massage Therapist | 348 E Le Capitaine Cir, Green Bay, WI 54302-5158 | 2008-04-17 |
| 1588279756 | Toni M Pullen | Massage Therapist | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2020-09-14 |
| 1639783202 | Angela Dhuey | Massage Therapist | 1160 Kepler Dr, Green Bay, WI 54311-8321 | 2020-09-01 |
| 1851930119 | Tamara C Johnson | Massage Therapist | 2641 Development Dr, Green Bay, WI 54311-4240 | 2020-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749548 | Cindy Ann Pinnow | Massage Therapist | 443 W Main St, Waukesha, WI 53186-4612 | 2020-10-27 |
| 1114526068 | Berevon Tayshawn Wyatt | Massage Therapist | 3510 N Oakland Ave Ste 206, Milwaukee, WI 53211-2746 | 2020-10-21 |
| 1881292035 | Chrysta Beyer | Massage Therapist | 117 W Good Hope Rd, Glendale, WI 53217-3857 | 2020-10-10 |
| 1861099608 | Kaitlin Gelbmann | Massage Therapist | 920 W City Highway 16 Ste A, West Salem, WI 54669-1952 | 2020-10-05 |
| 1447867346 | Evolve Massage LLC | Massage Therapist | 1777 W Main St Ste 106, Sun Prairie, WI 53590-3100 | 2020-09-25 |
| 1174139646 | Rachel Plowman | Massage Therapist | 2911 Blue Aster Blvd, Sun Prairie, WI 53590-4691 | 2020-09-21 |
| 1003422569 | Reeyanana Salet Cha | Massage Therapist | 12201 W Burleigh St Ste 6, Wauwatosa, WI 53222-3102 | 2020-09-21 |
| 1659986453 | Kristin Allie Costello | Massage Therapist | S31w24757 W Sunset Dr, Waukesha, WI 53189-7014 | 2020-09-09 |
| 1073124376 | Maria Victoria Gutierrez | Massage Therapist | 2702 Monroe St Ste 110, Madison, WI 53711-1896 | 2020-08-11 |
| 1699393082 | Laura Lynn Leyh | Massage Therapist | 1907 American Dr Ste B3, Neenah, WI 54956-1236 | 2020-07-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.