Individual
CHRISTOPHER ERIC BETOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1703 S ONEIDA ST STE E, APPLETON, WI 54915-1524
(920) 427-3005
Mailing address
1931 S LAWE ST, APPLETON, WI 54915-2406
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12373-146
WI
225700000X
Massage Therapist
18KT01443600
NJ
Other
Enumeration date
08/13/2022
Last updated
08/13/2022
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