Provider Demographics
NPI:1962068809
Name:HAWKINS, BRITTNI ANNE (LAC, LMT)
Entity type:Individual
Prefix:
First Name:BRITTNI
Middle Name:ANNE
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:LAC, LMT
Other - Prefix:
Other - First Name:BRITTNI
Other - Middle Name:ANNE
Other - Last Name:CAHILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAC, LMT
Mailing Address - Street 1:710 4TH AVE W
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:WI
Mailing Address - Zip Code:53566-1039
Mailing Address - Country:US
Mailing Address - Phone:815-858-4780
Mailing Address - Fax:
Practice Address - Street 1:710 4TH AVE W
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:WI
Practice Address - Zip Code:53566-1039
Practice Address - Country:US
Practice Address - Phone:815-858-4780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-16
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI992-55171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist