Individual
PAULINE S PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
4114 40TH AVE S, MINNEAPOLIS, MN 55406-3445
(612) 250-5232
Mailing address
4114 40TH AVE S, MINNEAPOLIS, MN 55406-3445
(612) 250-5232
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/23/2008
Last updated
01/23/2008
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