Individual
MRS. ALICE EDENA LIPFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCTMB, WLMT
Contact information
Practice address
1263 COUNTY ROAD PH, ONALASKA, WI 54650-8519
(608) 781-2555
Mailing address
1263 COUNTY ROAD PH, ONALASKA, WI 54650-8519
(608) 781-2555
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
57-146
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
/57-146
STATE OF WISCONSIN
WI
Enumeration date
05/14/2013
Last updated
05/14/2013
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