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Individual

MRS. BETH ANN SHIELDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MT

Contact information

Practice address
1309 STOUT RD, MENOMONIE, WI 54751-2959
(715) 233-6230
(715) 233-6231
Mailing address
1101 TAINTER ST, MENOMONIE, WI 54751-1568
(715) 597-2316

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11124-146
WI

Other

Enumeration date
09/01/2011
Last updated
09/01/2011
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