Individual
DONNETTE WEITERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
603 W MAIN ST, SUN PRAIRIE, WI 53590-2848
(920) 296-6650
Mailing address
202 S 1ST ST, RANDOLPH, WI 53956-1328
(920) 296-6650
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13930-146
WI
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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