Individual
BENJAMIN EARL LOCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
6957 HIGHWAY 10 NW STE 102, RAMSEY, MN 55303-6059
(612) 226-0967
Mailing address
7051 147TH AVE NW, RAMSEY, MN 55303-4734
(612) 226-0967
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
03/12/2021
Last updated
03/12/2021
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