Individual
JUSTIN G WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
W329N4362 LAKELAND DR, NASHOTAH, WI 53058-9708
(575) 551-2647
Mailing address
W329N4362 LAKELAND DR, NASHOTAH, WI 53058-9708
(262) 563-1000
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15731-146
WI
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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