Individual
WILLIAM BRIAN FLASKAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
5290 WILLIAMS DR, ROSCOE, IL 61073-9222
(815) 494-0035
Mailing address
4627 N LAURA DR, JANESVILLE, WI 53548-8689
(815) 847-8973
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.020218
IL
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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