Individual
MISS THERESE MONICA WIEBELHAUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
4900 CREDIT RIVER RD SE, PRIOR LAKE, MN 55372-2557
(763) 354-9778
Mailing address
4900 CREDIT RIVER RD SE, PRIOR LAKE, MN 55372-2557
(763) 354-9778
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
07/27/2010
Last updated
08/06/2010
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