Individual
DEBORAH KICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
6606 W NORTH AVE, WAUWATOSA, WI 53213-2050
(414) 259-3933
Mailing address
6606 W NORTH AVE, WAUWATOSA, WI 53213-2050
(414) 259-3933
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
869-046
WI
Other
Enumeration date
11/19/2008
Last updated
11/19/2008
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