Individual
MISHEL ISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
8201 MISH KO SWEN DR, CRANDON, WI 54520-8631
(715) 478-4344
(715) 478-7336
Mailing address
PO BOX 396, CRANDON, WI 54520-0396
(715) 478-4344
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11351-146
WI
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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