Renee Ann Sponem, LMT
Massage Therapist in Dodgeville, WI. Individual provider (NPI-1).
NPI number1942015342
StatusActive
Last updated in NPPESFeb 11, 2025
Details
- NPI
- 1942015342
- Entity type
- Individual (NPI-1)
- Name
- Renee Ann Sponem
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 11, 2025
- Certification date
- Feb 11, 2025
- Last updated
- Feb 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 13030-146 | WI | Yes |
Practice location
1206 N Johns StDodgeville, WI 53533-1279
Phone 608-574-5125
Mailing address
S10381 County Road CSauk City, WI 53583-9636
Phone 608-574-5125
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