Individual
LORI BERSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
336 NORTH AVE, KEWASKUM, WI 53040-9130
(262) 707-9068
Mailing address
336 NORTH AVE, KEWASKUM, WI 53040-9130
(262) 707-9068
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13170-146
WI
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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