Individual
BRYANNA RAE WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
860 BLUE GENTIAN RD STE 125, EAGAN, MN 55121-1554
(715) 308-7925
Mailing address
860 BLUE GENTIAN RD STE 125, EAGAN, MN 55121-1554
(715) 308-7925
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
00005180
MN
Other
Enumeration date
05/05/2023
Last updated
05/05/2023
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