NPI 1679705909

Traci Rae Bloedorn, ARCB

Practitioner Reflexologist Black Creek, WI

Practice location

Address: N8380 Old Highway 47, Black Creek, WI 54106-9152
Phone: (920) 525-3011

Registered specialties

Reflexologist Primary

Other Service Providers Taxonomy 173C00000X Licence BO1207 (WI)

Other Reflexologist providers in Wisconsin →

Registry record

NPI: 1679705909
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Aug 2009
Record last updated: 20 Aug 2009

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.