Individual
SAMANTHA JO BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
940 HANSEN RD STE F, GREEN BAY, WI 54304-5377
(920) 496-6000
(920) 496-0998
Mailing address
940 HANSEN RD STE F, GREEN BAY, WI 54304-5377
(920) 496-6000
(920) 496-0998
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15477-146
WI
Other
Enumeration date
12/21/2022
Last updated
12/21/2022
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