Individual
MARIE MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
348 E MAIN ST, REEDSBURG, WI 53959-1940
(608) 415-9428
Mailing address
S7045 SANDUSKY RD, HILLPOINT, WI 53937-9793
(608) 415-9428
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12638-146
WI
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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