Individual
KRISTIN WAUKAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1020 N 12TH ST FL 4, MILWAUKEE, WI 53233-1308
(414) 219-5900
Mailing address
475 E VAN BECK AVE, MILWAUKEE, WI 53207-4457
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3730-146
WI
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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