OrganizationActive
Massage Evolution LLC
NPI 1104535814 · Health Service Clinic/Center · Green Bay, WI
Provider details
- NPI number
- 1104535814
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Amy Hacker, Co-President
Practice location
2615 Packerland Dr Ste F1
Green Bay, WI 54313-5780
Phone: (920) 288-1235
Mailing address
2615 Packerland Dr Ste F1
Green Bay, WI 54313-5780
Registry dates
- Enumerated
- 2022-11-21
- Last updated
- 2022-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.