Individual
JENNIFER BARNCARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6032 40TH AVE, KENOSHA, WI 53142-7018
(262) 957-7743
Mailing address
4030 86TH PL, KENOSHA, WI 53142-5028
(262) 957-7743
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3408-046
WI
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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