Individual
LAURA JEAN ABERNATHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7803 AFTON RD STE 17, WOODBURY, MN 55125-1507
(651) 226-7392
Mailing address
70 ODAY ST N, MAPLEWOOD, MN 55119-4727
(651) 226-7392
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
927216
MN
Other
Enumeration date
03/14/2020
Last updated
03/14/2020
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