SearchWisconsin104100000X

Maebel Tinoko

NPI 1649027616 · on the registry since 2024 · sole proprietor

Practice

Address
1111 55th St Ste 3
Kenosha, WI 53140
Phone
(414) 301-1169
Organisation at this address
Creative Storm Therapy, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-02-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin