NPI 1477116523

Jessica D Prohuska, LAC

Practitioner Acupuncturist East Troy, WI

Practice location

Address: 3278 Main St, East Troy, WI 53120-1152
Phone: (262) 642-4325
Mailing address: 814 Hazel Ridge Rd APT 305, Elkhorn, WI 53121-1251

Registered specialties (2)

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence 993-55 (WI)

Other Acupuncturist providers in Wisconsin →

Acupuncturist

Other Service Providers Taxonomy 171100000X

Registry record

NPI: 1477116523
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Apr 2019
Record last updated: 15 Apr 2019

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.