Most Relevant Information
Provider Data
NPI Number: | 1003019035 |
Provider Name: | KATY A KAMINSKI MT |
Entity Type: | Individual |
Taxonomy Code: | 225700000X |
Specialty: | Massage Therapist |
License Number: | 3986-046 |
Most Important Dates
Enumeration Date: | 06/07/2007 |
Last Updated: | 08/13/2007 |
Provider Practice Location
500 LAWE ST
KAUKAUNA
WI
541302022
Practice Location Phone/Fax
Phone: | 9207663741 |
Fax: | 9207664217 |
Provider Mailing Location
500 LAWE ST
KAUKAUNA
WI
541302022
Provider Mailing Phone/Fax
Phone: | 9207663741 |
Fax: | 9207664217 |