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)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