Organization
EQUILIBRIUM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXIE MELCHIOR (OWNER)
(352) 870-5380
Entity
Organization
Contact information
Practice address
4570 W 77TH ST, SUITE 140, EDINA, MN 55435-5008
(952) 500-8733
Mailing address
4624 XERXES AVE S, MINNEAPOLIS, MN 55410-1862
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 83440
FL
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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