Individual
JOLYNN M GANTHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
117 3RD ST W, HASTINGS, MN 55033-1116
(651) 437-1876
Mailing address
1660 STICKNEY AVE, SOUTH SAINT PAUL, MN 55075-1061
(612) 226-9161
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
06/15/2018
Last updated
10/02/2019
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