Provider Demographics
NPI:1437843679
Name:SENKOWSKI, DARCI JAE (LIC AC,)
Entity Type:Individual
Prefix:MS
First Name:DARCI
Middle Name:JAE
Last Name:SENKOWSKI
Suffix:
Gender:F
Credentials:LIC AC,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7462 US-14
Mailing Address - Street 2:
Mailing Address - City:ARENA
Mailing Address - State:WI
Mailing Address - Zip Code:53503
Mailing Address - Country:US
Mailing Address - Phone:608-297-0090
Mailing Address - Fax:608-297-0090
Practice Address - Street 1:129 WEST COMMERCIAL STREET
Practice Address - Street 2:
Practice Address - City:MAZOMANIE
Practice Address - State:WI
Practice Address - Zip Code:53560-0121
Practice Address - Country:US
Practice Address - Phone:608-297-0090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-08
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI125-55171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty