Individual
GINA MCCAFFERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
126 W BAYFIELD ST, WASHBURN, WI 54891-1182
(715) 209-3784
Mailing address
PO BOX 278, CORNUCOPIA, WI 54827-0278
(715) 209-3784
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11817-146
WI
Other
Enumeration date
05/08/2020
Last updated
05/08/2020
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