Individual
MONTARIOUS KENYAN KNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2206 HIGHLAND AVE STE 144, EAU CLAIRE, WI 54701-3441
(715) 721-4841
Mailing address
2206 HIGHLAND AVE STE 144, EAU CLAIRE, WI 54701-3441
(715) 721-4841
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17950146
WI
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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