IndividualActive
Anna Kudick, LMT
NPI 1255966008 · Massage Therapist · Plymouth, WI
Provider details
- NPI number
- 1255966008
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 10617-146 (WI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1005 Eastern Ave
Plymouth, WI 53073-1920
Phone: (920) 419-4727
Approximate (ZIP-level) locationGet directions
Mailing address
2202 Division St
Manitowoc, WI 54220-6028
Registry dates
- Enumerated
- 2020-03-11
- Last updated
- 2020-03-11
- Certified
- 2020-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.