Individual
TINA MCRAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
416 E HENNEPIN AVE, SUITE 202, MINNEAPOLIS, MN 55414-1006
(612) 251-2111
(612) 379-5353
Mailing address
416 E HENNEPIN AVE, SUITE 202, MINNEAPOLIS, MN 55414-1006
(612) 251-2111
(612) 379-5353
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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