Individual
SARAH E WATUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
10165 HENNEPIN TOWN RD, 103, EDEN PRAIRIE, MN 55347-3104
(952) 405-6220
Mailing address
5504 W 70TH ST, EDINA, MN 55439-1900
(952) 607-1021
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA0000
MN
Other
Enumeration date
05/04/2010
Last updated
05/04/2010
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