Gransberry, Autumn
Gransberry, Autumn is an sole proprietor health care provider with primary practice located at 15720 W National Ave , New Berlin WI 53151-5119. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Gransberry, Autumn can be contacted via phone (262) 785-5515.Contact Information
Primary practice address
15720 W National Ave
New Berlin WI 53151-5119
Phone: (262) 785-5515
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 11942-146 | Wisconsin |
Profile Details
| NPI number | 1770822355 |
|---|---|
| LBN Legal business name | Gransberry, Autumn |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 2nd, 2013 |
| Last updated | Feb 2nd, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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