Individual
MS. AMY WISKOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
W12710 US HIGHWAY 45, MARION, WI 54950-9153
(715) 853-3740
Mailing address
E6081 MAVIS RD, MARION, WI 54950-9580
(715) 853-3740
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11991-146
WI
Other
Enumeration date
03/02/2023
Last updated
03/02/2023
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