Individual
KELSEY E KLETZIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1010 N WASHINGTON ST, JANESVILLE, WI 53548-1500
(608) 741-6799
Mailing address
1010 N WASHINGTON ST, JANESVILLE, WI 53548
(608) 741-6799
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10632-146
WI
225700000X
Massage Therapist
389278
WI
Other
Enumeration date
02/11/2011
Last updated
10/23/2012
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