Individual
AMELIA LOUISE STAFFELDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
N64W24050 MAIN ST STE 306B, SUSSEX, WI 53089-3000
(262) 200-1205
Mailing address
N64W24050 MAIN ST STE 306B, SUSSEX, WI 53089-3000
(262) 200-1205
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12778
WI
225700000X
Massage Therapist
12778-146
WI
Other
Enumeration date
06/27/2022
Last updated
01/10/2025
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