Individual
UNKNOWN CHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3999 HWY 47 N, RHINELANDER, WI 54501-8827
(715) 369-7222
(715) 369-7222
Mailing address
3999 HWY 47 N, RHINELANDER, WI 54501-8827
(715) 369-7222
(715) 369-7222
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3119-146
WI
Other
Enumeration date
06/18/2020
Last updated
07/07/2020
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