Individual
KAY SOPINSKI PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WCMT
Contact information
Practice address
4330 GOLF TER, SUITE 209, EAU CLAIRE, WI 54701-4683
(715) 835-2746
Mailing address
4330 GOLF TER, SUITE 209, EAU CLAIRE, WI 54701-4683
(715) 835-2746
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
575-046
WI
Other
Enumeration date
10/26/2009
Last updated
10/26/2009
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