Individual
CARRIE ANN BARTLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MMT
Contact information
Practice address
11815 243RD AVE, TREVOR, WI 53179-9230
(847) 529-3544
Mailing address
11815 243RD AVE, TREVOR, WI 53179-9230
(847) 529-3544
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
14463-146
WI
225700000X
Massage Therapist
Primary
227.020006
IL
Other
Enumeration date
05/27/2020
Last updated
05/12/2021
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