NPI 1558987636

Jennifer a Haen, LMT

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: 550 Schmidt Rd, Kaukauna, WI 54130-8921

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 2875-146 (WI)

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Registry record

NPI: 1558987636
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jun 2020
Record last updated: 24 Jun 2020

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.