Mark E Harris LIC MASSAGE THERAPIS

NPI 1619168531 - Massage Therapist - 225700000X

NPI Details
NPI 1619168531
Gender Male
Enumeration Date 08/06/2007
Last Updated 08/06/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2400 DIAGONAL RD
LA CROSSE WI, 54601-7619, US
Phone (608) 784-4471
Fax
Business Location
1314 JOHNSON ST
LA CROSSE WI, 54601-5616, US
Phone (608) 784-4471
Fax
Toxanomy
Taxonomy Code 225700000X
License State Wisconsin
License Number 2914 046
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According to our database, Mr. Mark E Harris LIC MASSAGE THERAPIS NPI is 1619168531, taxonomy code is 225700000X and license number is 2914 046, license state is located at Wisconsin. Mark E Harris LIC MASSAGE THERAPIS physically located at 2400 Diagonal Rd, La Crosse WI, 54601-7619. NPI Number Mark E Harris LIC MASSAGE THERAPIS has the Individual type.

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1619168531 NPI number is provided on an as is basis without warranty of any kind. 1619168531 is maintained by the National Plan & Provider Enumeration System. The contents of Mark E Harris LIC MASSAGE THERAPIS are for informational purposes only.