Individual
DARCEY CROTTEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
407 W KNAPP ST, RICE LAKE, WI 54868-1546
(715) 205-1012
Mailing address
1716 21 1/2 ST, CAMERON, WI 54822-9790
(715) 205-1012
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14265-146
WI
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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