Individual
MR. JEFFREY J TOLSMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1517 DOCTORS CT, UPSTAIRS, WATERTOWN, WI 53094
(920) 262-2954
Mailing address
1517 DOCTORS CT, UPSTAIRS, WATERTOWN, WI 53094
(920) 262-2954
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12738-146
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12738-146
LMT NUMBER
WI
Enumeration date
08/16/2022
Last updated
08/16/2022
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