Individual
MR. LOUIS NEWSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3900 VINEWOOD LN N, PLYMOUTH, MN 55441-1155
(763) 559-9236
Mailing address
1404 LAKE ST NE, HOPKINS, MN 55343-1908
(763) 614-0363
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
00030348
MN
Other
Enumeration date
03/20/2015
Last updated
03/20/2015
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