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Individual

TANYA LEE CHRISTIANSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CMT

Contact information

Practice address
3158 VIKING BLVD NW, OAK GROVE, MN 55011-9339
(763) 208-4562
Mailing address
18322 GREENBROOK DR NE, EAST BETHEL, MN 55092-9522
(763) 354-4162

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary

Other

Enumeration date
01/19/2012
Last updated
10/27/2014
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