MS. Traci Rae Bloedorn, ARCB

NPI #1679705909 in Black Creek, Wisconsin

Provider Information

NPI Number: 1679705909
Entity Type: Individual
Name: MS. Traci Rae Bloedorn, ARCB
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Reflexologist
Credential: ARCB
Enumeration Date: Aug 20, 2009
Last Updated: Aug 20, 2009

Practice Location

Address: N8380 OLD HIGHWAY 47
City: Black Creek
State: Wisconsin
ZIP Code: 54106-9152
Phone: (920) 525-3011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Reflexologist	173C00000X	Primary

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