Individual
RANDA BETH HODGSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
18305 W LISBON RD, BROOKFIELD, WI 53045-1003
(262) 225-7833
Mailing address
18305 W LISBON RD, BROOKFIELD, WI 53045-1003
(262) 225-7833
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12300-146
WI
Other
Enumeration date
05/14/2013
Last updated
05/14/2013
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