Individual
KAITLIN CHELSEA MCCULLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6417 ODANA RD STE 25, MADISON, WI 53719-1159
(608) 640-3646
Mailing address
6417 ODANA RD STE 25, MADISON, WI 53719-1159
(608) 640-3646
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10217-146
WI
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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