Individual
VANESSA HIETALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5317 GLENWOOD ST, DULUTH, MN 55804-1629
(218) 576-3909
Mailing address
5317 GLENWOOD ST, DULUTH, MN 55804-1629
(218) 576-3909
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
CLMT000620-2024
MN
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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