Mr John Carlson, NCBTMB | |
2409 Lyndale Ave S, Minneapolis, MN 55405-3357 | |
(612) 812-4101 | |
Not Available |
Full Name | Mr John Carlson |
---|---|
Gender | Male |
Speciality | Massage Therapist |
Location | 2409 Lyndale Ave S, Minneapolis, Minnesota |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760620157 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr John Carlson, NCBTMB 10129 Eden Prairie Rd, Eden Prairie, MN 55347-3919 Ph: () - | Mr John Carlson, NCBTMB 2409 Lyndale Ave S, Minneapolis, MN 55405-3357 Ph: (612) 812-4101 |
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