Organization
MASSAGE EVOLUTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY L HACKER LMT (CO-PRESIDENT)
(920) 737-3452
Entity
Organization
Contact information
Practice address
2615 PACKERLAND DR STE F1, GREEN BAY, WI 54313-5780
(920) 288-1235
Mailing address
2615 PACKERLAND DR STE F1, GREEN BAY, WI 54313-5780
(920) 288-1235
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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