Individual
MISS CASSANDRA JEAN LYNN KINNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
325 FOREST GROVE DR, PEWAUKEE, WI 53072-3894
(262) 563-3701
Mailing address
325 FOREST GROVE DR, PEWAUKEE, WI 53072-3894
(262) 563-3701
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17049-146
WI
Other
Enumeration date
06/06/2023
Last updated
02/14/2024
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