Individual
NICOLE MARIE DUXBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
3912 12TH AVE S, MINNEAPOLIS, MN 55407-2733
(612) 710-8248
Mailing address
3912 12TH AVE S, MINNEAPOLIS, MN 55407-2733
(612) 710-8248
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
12/06/2016
Last updated
09/10/2020
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