NPI 1376883926

Nichole Rae Leonhardt

Practitioner Massage Therapist Kaukauna, WI

Practice location

Address: 350 E Ann St, Kaukauna, WI 54130-3969
Phone: (920) 462-0912
Fax: (920) 462-0914
Mailing address: 803 W Elsie St, Appleton, WI 54914-3762

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 11209-146 (WI)

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Registry record

NPI: 1376883926
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Feb 2013
Record last updated: 19 Feb 2013

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.