Lachetta Broadway
Lachetta Broadway is a Massage Therapist in Kenosha, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.
- Licensed in
- WI
- In the registry since
- 2024
Practice location Address checks out
520 58th St Ste 106Kenosha, WI 53140-4114
Phone: (262) 551-1317
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence 12380-146 (WI) |
|---|
Record details
| NPI number | 1982459053 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 22, 2024 |
| Last updated in NPPES | April 22, 2024 |
| Certification date | April 22, 2024 |
| Mailing address | 2401 2nd St, Kenosha, WI 53140-1052 |
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