Individual
JENNIFER K WILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.M.T
Contact information
Practice address
401 DEWEY ST, FOLEY, MN 56329-8406
(320) 968-7413
Mailing address
131 BROADWAY AVE S, FOLEY, MN 56329-8531
(320) 493-9984
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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