Individual
GERALD TURNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
204 GARNET CIR, REESEVILLE, WI 53579-9686
(920) 545-4555
Mailing address
204 GARNET CIR, REESEVILLE, WI 53579-9686
(920) 545-4555
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1325-046
WI
Other
Enumeration date
11/12/2008
Last updated
11/12/2008
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