Individual
DEANNA WAUTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3110 GILBERT ST, MARINETTE, WI 54143-1934
(715) 732-4018
(715) 735-6864
Mailing address
3110 GILBERT ST, MARINETTE, WI 54143-1934
(715) 732-4018
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14296-146
WI
Other
Enumeration date
01/27/2025
Last updated
01/31/2025
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