Individual
JILL MARIE BERGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCTMB, WLMT
Contact information
Practice address
N4838 ELM RD, KRAKOW, WI 54137-9026
(920) 606-0277
Mailing address
N4838 ELM RD, KRAKOW, WI 54137-9026
(920) 606-0277
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2632146
WI
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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