Organization
TARGETED TISSUE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SADIE KEESY (OWNER)
(715) 441-7632
Entity
Organization
Contact information
Practice address
1477 S KNOWLES AVE, STE 110A, NEW RICHMOND, WI 54017
(715) 441-7632
Mailing address
309 N 4TH ST, NEW RICHMOND, WI 54017-1120
(715) 441-7632
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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