Female

Carol Mintz

Massage Therapist in Deforest, WI(View on Map)

Full Name

Carol Mintz

NPI Number

1265055743

NPI Type

Individual Provider

Gender

Female

Enumeration Date

05/19/2020

Specialties

(Taxonomies)

Code

225700000X

Primary Taxonomy

Yes

Licenses

State

Wisconsin

License Number

13403-146

Contact
Information

Purpose

Mailing
Location

Address

312 E NORTH ST
312 E NORTH ST

City

Deforest
Deforest

State

WI
WI

Postal Code

53532-1258
53532-1258

Country

US
US

Telephone Number

(308) 846-3337
(308) 846-3337

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

Data last updated by provider on 05/19/2020

Provider Address

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