Individual
RICHARD ALLEN MIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1340 W MAIN ST, ALBERT LEA, MN 56007-1800
(507) 377-3780
Mailing address
1340 W MAIN ST, ALBERT LEA, MN 56007-1800
(507) 377-3780
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
MN
225700000X
Massage Therapist
—
—
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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