Individual
MELISSA KAY GENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
445 N WATER ST, BLACK RIVER FALLS, WI 54615-1016
(715) 896-4539
Mailing address
445 N WATER ST, BLACK RIVER FALLS, WI 54615-1016
(715) 896-4539
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13428-146
WI
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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