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General NPI Number Information
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NPI Number | 1366359762
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Entity Type | Organization
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Legal Business Name | MASSAGE BY K
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Dates
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Enumeration Date | 08/24/2026
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Last Update Date | 08/24/2026
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Provider Practice Location Address
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Address Line | 10127 NORTHWESTERN AVE
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City | CALEDONIA
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State | WI
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Zip | 53126-9206
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Country | US
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Telephone | 262-498-6206
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Fax |
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Provider Business Mailing Address
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Address Line | 3927 N GREEN BAY RD
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City | CALEDONIA
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State | WI
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Zip | 53404-1415
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Country | US
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Telephone | 262-498-6206
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Fax |
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Authorized Official
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Title or Position | OWNER/LEAD LMT
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Name | KAYLA ROGNSVOOG
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Credential | LMT
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Telephone | 262-498-6206
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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