Individual
JAMIE LYNN SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
W307N1499 GOLF RD, DELAFIELD, WI 53018-2129
(262) 754-1650
(262) 754-1650
Mailing address
W307N1499 GOLF RD, DELAFIELD, WI 53018-2129
(262) 754-1650
(262) 754-1650
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14853-146
WI
Other
Enumeration date
02/07/2019
Last updated
02/07/2019
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