Individual
MICHAEL PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
819 E HIGH ST, MILTON, WI 53563-1528
(608) 436-8303
Mailing address
7916 N JOHN PAUL RD, MILTON, WI 53563-9659
(608) 436-8303
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3711-146
WI
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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