Individual
JENNA MARIE NORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
608 E FOND DU LAC ST, RIPON, WI 54971-9500
(920) 246-2740
Mailing address
W2223 LEDGEVIEW RD, GREEN LAKE, WI 54941-9628
(920) 246-2740
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10785-146
WI
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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