| Tristan Oliver Opdahl, | |
|
3220 Aldrich Ave S # 3, Minneapolis, MN 55408-3861 | |
| (203) 216-8522 | |
| Not Available |
| Full Name | Tristan Oliver Opdahl |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 3220 Aldrich Ave S # 3, Minneapolis, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205552809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 009026 (Connecticut) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tristan Oliver Opdahl, 3220 Aldrich Ave S # 3, Minneapolis, MN 55408-3861 Ph: (203) 216-8522 | Tristan Oliver Opdahl, 3220 Aldrich Ave S # 3, Minneapolis, MN 55408-3861 Ph: (203) 216-8522 |
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