Individual
JOSHUA BRUNIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
403 N GRAND AVE, WAUKESHA, WI 53186-4984
(262) 547-1411
Mailing address
403 N GRAND AVE, WAUKESHA, WI 53186-4984
(262) 541-1411
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14815-146
WI
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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