Organization
K.O. BODYWORKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER KEUPPER ONEIL LMT (OWNER)
(734) 674-5823
Entity
Organization
Contact information
Practice address
801 N PAGE ST, STOUGHTON, WI 53589-1309
(734) 674-5823
Mailing address
1792 WILLIAMS DR, STOUGHTON, WI 53589-3342
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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