Individual
CHAD J NEEDHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
101 1/2 S WATER ST LOWR UNIT, SPARTA, WI 54656-1722
(608) 344-1902
Mailing address
734 E DIVISION ST APT 4, SPARTA, WI 54656-1385
(608) 344-1902
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12814-146
WI
Other
Enumeration date
02/23/2020
Last updated
02/23/2020
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