Female

Carie Koltz LMT, BCTMB

Massage Therapist in Beaver Dam, WI(View on Map)

Full Name

Carie Koltz LMT, BCTMB

NPI Number

1235595521

NPI Type

Individual Provider

Gender

Female

Enumeration Date

01/03/2016

Specialties

(Taxonomies)

Code

225700000X

Primary Taxonomy

Yes

Licenses

State

Wisconsin

License Number

4147-146

Contact
Information

Purpose

Mailing
Location

Address

1626 N SPRING ST STE B
1626 N SPRING ST STE B

City

Beaver Dam
Beaver Dam

State

WI
WI

Postal Code

53916-1283
53916-1283

Country

US
US

Telephone Number

(920) 356-0122
(920) 356-0122

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/03/2016

Provider Address