Individual
MRS. AMANDA ARLENE MEHNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
612 S WELLS ST, SUITE C, LAKE GENEVA, WI 53147-2159
(262) 248-8177
(262) 248-6393
Mailing address
612 S WELLS ST, SUITE C, LAKE GENEVA, WI 53147-2159
(262) 248-8177
(262) 248-6393
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10312-146
WI
Other
Enumeration date
12/07/2012
Last updated
12/07/2012
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