Individual
MARY RITA PATCHETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CMT
Contact information
Practice address
7877 BLACK RIVER RD, VERONA, WI 53593-9578
(608) 576-9420
Mailing address
7877 BLACK RIVER RD, VERONA, WI 53593-9578
(608) 576-9420
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2659-046
WI
Other
Enumeration date
09/30/2009
Last updated
09/30/2009
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