Individual
MS. AMY LYNN PORATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
2970 S DELAWARE AVE, MILWAUKEE, WI 53207-2562
(414) 737-1032
Mailing address
2970 S DELAWARE AVE, MILWAUKEE, WI 53207-2562
(414) 737-1032
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3962-146
WI
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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