Individual
AMANDA WIERZBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
S75W17237 JANESVILLE RD STE 300, MUSKEGO, WI 53150-9337
(414) 732-7699
Mailing address
W170S7353 PARKLAND DR, MUSKEGO, WI 53150-9401
(414) 732-7699
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13296-146
WI
Other
Enumeration date
05/07/2020
Last updated
05/07/2020
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