Individual
STACEY GUNDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4751 W PARK AVE, CHIPPEWA FALLS, WI 54729-2752
(715) 563-3900
Mailing address
15113 COUNTY HIGHWAY UN, CHIPPEWA FALLS, WI 54729-5553
(715) 563-3900
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12756-146
WI
Other
Enumeration date
12/08/2019
Last updated
12/08/2019
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