Individual
JENNELLE THIMMESCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
114 FS DR STE A, VIROQUA, WI 54665-2248
(608) 632-6697
Mailing address
S3251 W SALEM RIDGE RD, LA FARGE, WI 54639-8017
(608) 625-2238
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13447-146
WI
Other
Enumeration date
04/11/2020
Last updated
04/11/2020
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