Individual
TRISTAN OLIVER OPDAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3220 ALDRICH AVE S # 3, MINNEAPOLIS, MN 55408-3861
(203) 216-8522
Mailing address
3220 ALDRICH AVE S # 3, MINNEAPOLIS, MN 55408-3861
(203) 216-8522
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
009026
CT
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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