Individual
COLE ABPLANALP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
W8420 COUNTY ROAD B, COLEMAN, WI 54112-9541
(715) 291-8340
Mailing address
W8420 COUNTY ROAD B, COLEMAN, WI 54112-9541
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14610
WI
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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