Individual
MRS. KATIE LYNNE HENNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
411 E MILL ST, BAKER SUITE 106, PLYMOUTH, WI 53073-1859
(920) 892-4251
Mailing address
411 E MILL ST, BAKER SUITE 106, PLYMOUTH, WI 53073-1859
(920) 892-4251
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
657-046
WI
Other
Enumeration date
10/01/2008
Last updated
10/01/2008
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