Individual
LYNN MARIE KUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
224 LEDGEVIEW AVE, FOND DU LAC, WI 54935-3642
(920) 470-7488
Mailing address
224 LEDGEVIEW AVE, FOND DU LAC, WI 54935-3642
(920) 470-7488
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1599-146
WI
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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