Individual
SARAH MARIE GRAEF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT, BCTMB
Contact information
Practice address
413 N MAIN ST, RICE LAKE, WI 54868-1720
(715) 928-3628
Mailing address
413 N MAIN ST, RICE LAKE, WI 54868-1720
(715) 928-3628
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11662
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11662
STATE OF WISCONSIN LICENSURE
WI
01
—
558306-08
BCTMB
WI
Enumeration date
12/22/2019
Last updated
12/22/2019
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