Organization
DWAY EASTERN THERAPEUTIC BODYWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE ANTIONETTE FRAZIER (CEO)
(612) 249-3132
Entity
Organization
Contact information
Practice address
7600 BASS LAKE RD, NEW HOPE, MN 55428-3860
(612) 249-3132
(612) 249-3132
Mailing address
7600 BASS LAKE RD, NEW HOPE, MN 55428-3860
(612) 249-3132
(612) 249-3132
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
02/13/2026
Last updated
02/13/2026
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