Individual
DANIELLE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
233 E MAIN ST, REEDSBURG, WI 53959-1939
(608) 495-0356
Mailing address
233 E MAIN ST, REEDSBURG, WI 53959-1939
(608) 495-0356
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12666-146
WI
Other
Enumeration date
04/21/2016
Last updated
04/21/2016
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