Individual
MS. SABRINA ROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4000 ENTERPRISE DR, SHEBOYGAN, WI 53083-2245
(920) 459-9090
(920) 459-7426
Mailing address
4000 ENTERPRISE DR, SHEBOYGAN, WI 53083-2245
(920) 459-9090
(920) 459-7426
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13975-146
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13975-146
LICENSE NUMBER
—
01
—
39-1746106
GROUP TAXID
—
Enumeration date
02/06/2023
Last updated
02/06/2023
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