| Mr Jacob Charles Parenteau, LMT | |
|
5401 Douglas Ave, Suite# A, Caledonia, WI 53402 | |
| (262) 681-8829 | |
| (262) 681-8830 |
| Full Name | Mr Jacob Charles Parenteau |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 5401 Douglas Ave, Caledonia, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326745563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 14809 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jacob Charles Parenteau, LMT 2900 Crossridge Dr, Racine, WI 53405 Ph: (262) 909-8043 | Mr Jacob Charles Parenteau, LMT 5401 Douglas Ave, Suite# A, Caledonia, WI 53402 Ph: (262) 681-8829 |
Joshua Hamm, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 5401 Douglas Ave Ste A, Caledonia, WI 53402 Phone: 262-681-8829 | |
Leah Mcgowen, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 5401 Douglas Ave, Caledonia, WI 53402 Phone: 262-681-8829 |