Individual
TAMMY C COLLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 456-7000
Mailing address
1855 S KOELLER ST, OSHKOSH, WI 54902-6214
(920) 223-7010
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2566-146
WI
Other
Enumeration date
06/17/2011
Last updated
05/22/2020
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