Individual
DANIELLE COTIE JEFKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
890 W WINGRA DR, MADISON, WI 53715-1942
(608) 441-9355
Mailing address
890 W WINGRA DR, MADISON, WI 53715-1942
(608) 441-9355
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12849-146
WI
Other
Enumeration date
06/25/2015
Last updated
06/25/2015
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