Individual
KAREN J IVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
7933 61ST AVE N, NEW HOPE, MN 55428-2715
(612) 209-6616
Mailing address
7933 61ST AVE N, NEW HOPE, MN 55428-2715
(612) 209-6616
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
MN
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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