Individual
TANYA KLEINHENZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCTMB-CMT-CST
Contact information
Practice address
1617 W COURT ST, JANESVILLE, WI 53548-3503
(608) 436-0118
Mailing address
326 SUNSET DR, JANESVILLE, WI 53548-3251
(608) 436-0118
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3523-046
WI
Other
Enumeration date
08/10/2009
Last updated
08/10/2009
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