Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Phoenix Wisner, MT

Individual provider Massage Therapist · NPI 1740019694

Phoenix Wisner, MT is a Massage Therapist in Fredericksburg, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2024
What do these letters mean?
MT — Medical Technologist
Performs laboratory testing on clinical specimens.

See every abbreviation used in this directory →

Practice location Address checks out

10500 Wakeman Dr Ste 500
Fredericksburg, VA 22407-8014
Phone: (540) 785-7888
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 0019019873 (VA)

Record details

NPI number1740019694
Entity typeIndividual (Type 1)
GenderFemale
Credentials MT
Sole proprietorYes
NPI enumeratedJuly 30, 2024
Last updated in NPPESJuly 30, 2024
Certification dateJuly 30, 2024
Mailing address10500 Wakeman Dr Ste 500, Fredericksburg, VA 22407-8014

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