Individual
ELIZABETH KIEWEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
327 13TH STREET SOUTH, SUITE 110, DELANO, MN 55328
(952) 686-8682
Mailing address
327 13TH STREET SOUTH, SUITE 110, DELANO, MN 55328
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144663808
NON
MN
Enumeration date
04/12/2013
Last updated
01/25/2022
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