Chad J Needham, LMT

NPI #1396379954 in Sparta, Wisconsin

Provider Information

NPI Number: 1396379954
Entity Type: Individual
Name: Chad J Needham, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Feb 23, 2020
Last Updated: Feb 23, 2020

Practice Location

Address: 101 1/2 S WATER ST LOWR UNIT
City: Sparta
State: Wisconsin
ZIP Code: 54656-1722
Phone: (608) 344-1902

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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