Individual provider · Type 1 NPI

Jacquelyn Lietke, LMT

Massage Therapist · La Crosse, WI

NPI number 1225676083 Active

Practice location

3120 South Ave Ste 105
La Crosse, WI 54601-6720

Call (608) 317-5788 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000XNone listed
Massage Therapist Primary 225700000X10111-146 (WI)

Massage Therapist: 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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About NPI 1225676083

Jacquelyn Lietke, LMT's National Provider Identifier is 1225676083, issued on Dec 11, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in La Crosse, WI. The record was last updated on Dec 11, 2019.