Individual
NICOLE MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1134 N JOHNS ST, DODGEVILLE, WI 53533-1280
(608) 778-8382
Mailing address
900 LOG TOWN RD, MINERAL POINT, WI 53565-9186
(608) 778-8382
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4696-146
WI
Other
Enumeration date
12/27/2021
Last updated
12/27/2021
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