Individual
JENNIFER SUE WAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
308 4TH ST S, NORTHWOOD, IA 50459-1900
(641) 390-0319
Mailing address
308 4TH ST S, NORTHWOOD, IA 50459-1900
(641) 390-0319
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
088886
IA
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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