Individual
NICOLE BARTELS ZIVALICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
2920 BRYANT AVE S STE 104, MINNEAPOLIS, MN 55408-2332
(612) 801-5195
Mailing address
2920 BRYANT AVE S, #104, MINNEAPOLIS, MN 55405
(612) 801-5195
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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