Individual
JESSICA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1664 7TH AVE, GRAFTON, WI 53024-2333
(414) 676-4373
Mailing address
8608 N SERVITE DR, MILWAUKEE, WI 53223-2514
(414) 676-4373
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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