Individual
LAURA ELLINGBOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2186 EASTRIDGE CTR, EAU CLAIRE, WI 54701-3403
(715) 598-1759
Mailing address
2186 EASTRIDGE CTR, EAU CLAIRE, WI 54701-3403
(715) 598-1759
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11528-146
WI
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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