Individual
EMMIE GRACE MOSS
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
(608) 741-3808
Mailing address
1010 N WASHINGTON ST, JANESVILLE, WI 53548-1500
(608) 741-6799
(608) 741-3808
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10006-146
WI
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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