Individual
KERRY REISING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
148 E STATE ST STE A, BURLINGTON, WI 53105-1955
(773) 677-8458
Mailing address
148 E STATE ST STE A, BURLINGTON, WI 53105-1955
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11091-146
WI
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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