Individual
AMY KLEWICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
518 OHIO ST, OSHKOSH, WI 54902-5904
(920) 979-0791
Mailing address
PO BOX 1033, OSHKOSH, WI 54903-1033
(920) 979-0791
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2935-046
WI
Other
Enumeration date
01/19/2010
Last updated
01/19/2010
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