Individual
LAURA NOVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
715 HILL ST STE 270, MADISON, WI 53705-3572
(608) 616-0264
Mailing address
715 HILL ST STE 270, MADISON, WI 53705-3572
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4162-146
WI
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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