Individual
TAMMY BENZ-JEPPESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2514 GLENDALE AVE, GREEN BAY, WI 54313-6822
(920) 434-5086
Mailing address
3410 WILDERNESS TRL, SUAMICO, WI 54313-8745
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10884-146
WI
Other
Enumeration date
03/15/2022
Last updated
03/15/2022
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