Individual
JAMIE LEIGH HANCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 ZAP DR, BARABOO, WI 53913-9523
(608) 253-0312
Mailing address
1120 ZAP DR, BARABOO, WI 53913-9523
(608) 253-0312
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11072-146
WI
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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