Individual
GRETCHEN MACKOWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
9913 284TH AVE NW, ZIMMERMAN, MN 55398-8529
(763) 203-9352
Mailing address
9913 284TH AVE NW, ZIMMERMAN, MN 55398-8529
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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