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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. TRACI RAE BLOEDORN, ARCB

Active Sole Proprietor

MS. TRACI RAE BLOEDORN, ARCB is a Reflexologist healthcare provider located in BLACK CREEK, Wisconsin. NPI 1679705909 is currently active in the NPPES registry. Verify at CMS.

Reflexologist · BLACK CREEK, WI

Registration Details

NPI Number
1679705909
Provider Type
Individual
Gender
Female
NPI Issued
Aug 20, 2009 (16.94730811191 yrs)
Last Updated
Aug 20, 2009
License
BO1207 (WI)
Sole Proprietor
Yes

Practice Information

Address
N8380 OLD HIGHWAY 47
BLACK CREEK, WI, 541069152
Browse WI providers · Browse ZIP 54106
Phone
9205253011
Primary Specialty
Reflexologist
173C00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.