Individual
GRETCHEN LYNN PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
1717 2ND ST NE, MINNEAPOLIS, MN 55413-1139
(612) 399-6322
Mailing address
1717 2ND ST NE, MINNEAPOLIS, MN 55413-1139
(612) 399-6322
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
79867
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
79867
CERTIFIED MASSAGE THERAPIST
CA
Enumeration date
09/12/2022
Last updated
09/12/2022
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