Individual
MICHELLE BEDNAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA, LMT
Contact information
Practice address
2722 BRISTOL CT, WAUKESHA, WI 53188-1339
(414) 350-5706
Mailing address
2722 BRISTOL CT, WAUKESHA, WI 53188-1339
(414) 350-5706
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12936-146
WI
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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