Individual
DEBRA SUE GALLENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
N11228 ANTIGO STREET, ELCHO, WI 54428
(715) 610-7835
Mailing address
W10250 COUNTY ROAD K, ELCHO, WI 54428-9719
(715) 275-3228
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15739-146
WI
Other
Enumeration date
01/17/2023
Last updated
01/17/2023
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