Individual
MARISA KOLASA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22290 OAKDALE DRIVE, ROGERS, MN 55374
(612) 710-4851
Mailing address
22290 OAKDALE DRIVE, ROGERS, MN 55374
(612) 710-4851
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
MN
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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