Individual
TAMARA J VANDENBERGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
101 S JONES ST, BARNEVELD, WI 53507-9801
(608) 279-7837
Mailing address
309 DOUGLAS CT, BARNEVELD, WI 53507-9414
(608) 279-7837
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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