Individual
BRIANNA L AMUNDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
36321 MAIN ST, WHITEHALL, WI 54773-9186
(715) 538-2333
Mailing address
109 W 15TH ST, NEILLSVILLE, WI 54456-1110
(715) 538-2333
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15695-146
WI
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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