Individual
MS. VICTORIA LYNN POTARACKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFIED MASSAGE TH
Contact information
Practice address
603 KING ST, LA CROSSE, WI 54601-4140
(608) 784-6659
Mailing address
603 KING ST, LA CROSSE, WI 54601-4140
(608) 784-6659
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11582-146
WI
Other
Enumeration date
06/07/2013
Last updated
06/07/2013
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