Individual
MS. JAIME M IRVING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, LAC
Contact information
Practice address
4001 NAKOOSA TRL, MADISON, WI 53714-1379
(608) 285-9000
Mailing address
4001 NAKOOSA TRL STE 203, MADISON, WI 53714-1381
(608) 213-3664
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
744-55
WI
171W00000X
Contractor
Primary
11116-146
WI
171W00000X
Contractor
744-55
WI
225700000X
Massage Therapist
Primary
11116-146
WI
Other
Enumeration date
11/15/2012
Last updated
04/06/2026
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