Organization
NO KNOTS THERAPEUTIC MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA VANDERLOOP (OWNER / LICENSED MASSAGE THERAPIST)
(920) 539-9298
Entity
Organization
Contact information
Practice address
976 E JOHNSON ST STE 900, FOND DU LAC, WI 54935-9747
(920) 539-8289
Mailing address
PO BOX 85, MAYVILLE, WI 53050-0085
(920) 539-8289
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
10816-146
WI
225700000X
Massage Therapist
2742-146
WI
225700000X
Massage Therapist
Primary
3047-146
WI
225700000X
Massage Therapist
4559-146
WI
Other
Enumeration date
02/21/2014
Last updated
02/21/2014
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