Individual
BARBARA LYNN GOODE-BAARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT,CIMI
Contact information
Practice address
6201 75TH ST, KENOSHA, WI 53142-3513
(262) 496-4697
Mailing address
7129 28TH AVE, KENOSHA, WI 53143-5221
(262) 496-4697
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3689046
WI
225700000X
Massage Therapist
MT030236
TX
Other
Enumeration date
03/14/2008
Last updated
03/14/2008
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