Individual
HOLLY DIANE GUMZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
611 14TH ST S, WISCONSIN RAPIDS, WI 54494-4911
(715) 323-3167
Mailing address
611 14TH ST S, WISCONSIN RAPIDS, WI 54494-4911
(715) 323-3167
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4354-046
WI
Other
Enumeration date
06/07/2010
Last updated
06/07/2010
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