# ADVANCED MASSAGE AND THERAPY, LLP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699110809
- **Authorized official:** MR. LUIS E HERNANDEZ REYES (PRESIDENT)
- **Authorized official phone:** (612) 275-3958

## Contact information

- **Practice address:** 2526 HENNEPIN AVE, MINNEAPOLIS, MN 55405-3564
- **Practice address phone:** (612) 275-3958
- **Mailing address:** 2526 HENNEPIN AVE, MINNEAPOLIS, MN 55405-3564
- **Mailing address phone:** (612) 275-3958

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225700000X | Massage Therapist | — | NULL | — |
| 225700000X | Massage Therapist | — | — | — |

## Other

- **Enumeration date:** 05/01/2013
- **Last updated:** 05/01/2013
