Individual
TANYA M PAULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12455 RIDGEDALE DR # 203, MINNETONKA, MN 55305-1786
(952) 314-7035
Mailing address
12455 RIDGEDALE DR # 203, MINNETONKA, MN 55305-1786
(952) 314-7035
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
11/29/2022
Last updated
11/29/2022
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