Individual
JENNIFER JEAN MACKENTHUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 4TH AVE E, #195, SHAKOPEE, MN 55379-1681
(952) 913-7778
Mailing address
1221 4TH AVE E, #195, SHAKOPEE, MN 55379-1681
(952) 913-7778
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
10/19/2009
Last updated
03/18/2011
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