Individual
JENNIFER PRALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMT
Contact information
Practice address
3101 S DELAWARE AVE, MILWAUKEE, WI 53207-3018
(414) 481-8683
Mailing address
3101 S DELAWARE AVE, MILWAUKEE, WI 53207-3018
(414) 481-8683
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4244-146
WI
Other
Enumeration date
07/20/2012
Last updated
07/20/2012
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