| |
4165 Shoreline Dr, #50, Spring Park, MN 55384-9659 | |
(763) 427-0212 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Massage Therapist |
Location | 4165 Shoreline Dr, Spring Park, Minnesota |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508156977 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225700000X | Massage Therapist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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12400 Marion Ln W, #3204, Minnetonka, MN 55305-1376 Ph: (763) 427-0212 | 4165 Shoreline Dr, #50, Spring Park, MN 55384-9659 Ph: (763) 427-0212 |