# TRUEFORM ELECTROLYSIS LLC

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

## Provider details

- **NPI number:** 1922947506
- **Authorized official:** MS. JAMIE REY MOHLER (OWNER/ELECTROLOGIST)
- **Authorized official phone:** (651) 666-9467

## Contact information

- **Practice address:** 745 GRAND AVE STE 101, SAINT PAUL, MN 55105-3384
- **Practice address phone:** (651) 666-9467
- **Mailing address:** 3426 OLIVER AVE N, MINNEAPOLIS, MN 55412-2320
- **Mailing address phone:** (651) 666-9467

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246Z00000X | Other Specialist/Technologist | — | NULL | Yes |
| 246Z00000X | Other Specialist/Technologist | — | — | Yes |

## Other

- **Enumeration date:** 03/27/2026
- **Last updated:** 03/27/2026