Individual
BASIA LINDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT,
Contact information
Practice address
6767 W GREENFIELD AVE # LL3, MILWAUKEE, WI 53214-4967
(414) 274-9621
Mailing address
6767 W GREENFIELD AVE # LL3, MILWAUKEE, WI 53214-4967
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15808-146
WI
Other
Enumeration date
04/20/2024
Last updated
04/20/2024
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