Individual
KORTNEY NYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4000 N PROVIDENCE AVE, APPLETON, WI 54913-8018
(920) 257-9766
Mailing address
3725 S JOHANN DR, APPLETON, WI 54915-7066
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13491146
WI
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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