Individual
SUSAN K AMES-LILLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCTMB
Contact information
Practice address
15 2ND AVE, LUCK, WI 54853-4105
(715) 472-4181
Mailing address
1397 270TH AVE, PO BOX 602, LUCK, WI 54853-4105
(715) 472-4181
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2273-046
WI
Other
Enumeration date
07/20/2009
Last updated
07/20/2009
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