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5258 20th St Sw, Waverly, MN 55390-5024 | |
(612) 328-0884 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Massage Therapist |
Location | 5258 20th St Sw, Waverly, Minnesota |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1831590124 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225700000X | Massage Therapist | (Minnesota) | Primary |
Mailing Address | Practice Location Address |
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5258 20th St Sw, Waverly, MN 55390-5024 Ph: (612) 328-0884 | 5258 20th St Sw, Waverly, MN 55390-5024 Ph: (612) 328-0884 |