Healthcare Provider Details

I. General information

NPI: 1316230972
Provider Name (Legal Business Name): VENTURES UNLIMITED, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2011
Last Update Date: 05/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 NORTH INDUSTRIAL BLVD.
SHELL LAKE WI
54871
US

IV. Provider business mailing address

P.O. BOX 623 110 NORTH INDUSTRIAL BLVD..
SHELL LAKE WI
54871
US

V. Phone/Fax

Practice location:
  • Phone: 715-934-3035
  • Fax: 715-934-3037
Mailing address:
  • Phone: 715-468-2939
  • Fax: 715-468-4478

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number10204-146
License Number StateWI

VIII. Authorized Official

Name: MS. KRISTIN RAE FRANE
Title or Position: CEO
Credential: M.S.
Phone: 715-468-2939