Individual
DIANNE L MYHRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
400 E GRAND AVE, SUITE 212, BELOIT, WI 53511-6200
(608) 289-8640
Mailing address
PO BOX 14, ORFORDVILLE, WI 53576-0014
(608) 289-8640
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1900-146
WI
Other
Enumeration date
07/03/2013
Last updated
07/03/2013
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