Organization
MELTDOWN DAY SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TERESA JANE SHAPE LMT (OWNER)
(605) 520-9320
Entity
Organization
Contact information
Practice address
105 11TH ST NE, WATERTOWN, SD 57201-2852
(605) 520-9320
Mailing address
105 11TH ST NE, WATERTOWN, SD 57201-2852
(605) 520-9320
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT10532
SD
Other
Enumeration date
08/22/2016
Last updated
08/22/2016
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