Individual
JENNIFER A HAEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
350 E ANN ST, KAUKAUNA, WI 54130-3969
(920) 462-0912
(920) 462-0914
Mailing address
550 SCHMIDT RD, KAUKAUNA, WI 54130-8921
(920) 850-4839
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2875-146
WI
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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