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Kiara Danielle Carlson

Massage Therapist in Menomonie, WI. Individual provider (NPI-1).

NPI number1982939005
StatusActive
Last updated in NPPESOct 7, 2009

Details

NPI
1982939005
Entity type
Individual (NPI-1)
Name
Kiara Danielle Carlson
Sex
Female
Sole proprietor
No
Enumeration date
Oct 7, 2009
Last updated
Oct 7, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist225700000XMNYes

Practice location

916 15th Ave E
Menomonie, WI 54751-3401

Phone 715-233-6230

Mailing address

914 8th St E
Menomonie, WI 54751-2643

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