Individual
KELLIE RENEE BECKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
82 N MAIN ST STE 109, FOND DU LAC, WI 54935-3461
(920) 517-6797
Mailing address
105 N MAIN ST UPPR, FOND DU LAC, WI 54935-3459
(920) 517-6797
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11602-146
WI
Other
Enumeration date
12/04/2021
Last updated
12/04/2021
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