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Samantha Jo Burch, LMT
Massage Therapist in Green Bay, Wisconsin
NPI 1750093761

Samantha Jo Burch is a Massage Therapist based in Green Bay, WI. Samantha Jo Burch practices in Green Bay, WI and has the professional credentials of LMT. The NPI Number for Samantha Jo Burch is 1750093761 and holds a License No. 15477-146 (Wisconsin).

The current practice location address for Samantha Jo Burch is 940 Hansen Rd Ste F, Green Bay, WI and can be reached out via phone at 920-496-6000 and via fax at 920-496-0998.

Location: 940 Hansen Rd Ste F, Green Bay, WI, 54304-5377
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750093761
Provider Name
Samantha Jo Burch
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
940 Hansen Rd Ste F, Green Bay, WI, 54304-5377
Phone Number
920-496-6000
Fax Number
920-496-0998
Provider Enumeration Date
12/21/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
940 Hansen Rd Ste F
City
Green Bay
State
Wisconsin
Zip
54304-5377
Phone Number
920-496-6000
Fax Number
920-496-0998
person
Provider Business Mailing Address Details
Address
940 Hansen Rd Ste F
City
Green Bay
State
Wisconsin
Zip
54304-5377
Phone Number
920-496-6000
Fax Number
920-496-0998
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
15477-146 (Wisconsin)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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