Individual
MRS. NICHOLE RAE LEONHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 E ANN ST, KAUKAUNA, WI 54130-3969
(920) 462-0912
(920) 462-0914
Mailing address
803 W ELSIE ST, APPLETON, WI 54914-3762
(920) 309-2325
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11209-146
WI
Other
Enumeration date
02/19/2013
Last updated
02/19/2013
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