NPI 1326745563

Jacob Charles Parenteau, LMT

Practitioner Massage Therapist Caledonia, WI

Practice location

Address: 5401 Douglas Ave Suite# a, Caledonia, WI 53402
Phone: (262) 681-8829
Fax: (262) 681-8830
Mailing address: 2900 Crossridge Dr, Racine, WI 53405

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 14809 (WI)

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Registry record

NPI: 1326745563
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Feb 2023
Record last updated: 8 Feb 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.