Individual
JILL ARMENTROUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
613 JEFFERSON ST, LAKE MILLS, WI 53551-1736
(920) 728-4634
Mailing address
613 JEFFERSON ST, LAKE MILLS, WI 53551-1736
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3627-146
WI
Other
Enumeration date
07/23/2012
Last updated
07/23/2012
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