Individual
TAMARA JEAN MATHIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
80 37TH AVE S, SAINT CLOUD, MN 56301-3720
(320) 291-1592
Mailing address
815 10TH AVE N APT 306, SARTELL, MN 56377-2293
(320) 291-1592
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
07/19/2018
Last updated
06/06/2023
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