Individual
KIARA DANIELLE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
916 15TH AVE E, MENOMONIE, WI 54751-3401
(715) 233-6230
Mailing address
914 8TH ST E, MENOMONIE, WI 54751-2643
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
225700000X
MN
Other
Enumeration date
10/07/2009
Last updated
10/07/2009
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