Individual
SKYE BRANOVAN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
772 W MAIN ST STE 2032, LAKE GENEVA, WI 53147-1835
(262) 581-6369
Mailing address
403 WALWORTH ST, LAKE GENEVA, WI 53147-1515
(262) 581-6369
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12857-146
WI
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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