Individual
MALORIE JEAN BURKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
29 W DAVENPORT ST, RHINELANDER, WI 54501-3456
(715) 420-2005
Mailing address
4114 PENNY LN, RHINELANDER, WI 54501-9368
(920) 664-3448
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4967-146
WI
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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