Organization
IGNATIA INTEGRATIVE THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE CARTER (CREDENTIALING)
(229) 300-6755
Entity
Organization
Contact information
Practice address
5047 29TH AVE S, MINNEAPOLIS, MN 55417-1328
(952) 454-6461
Mailing address
5047 29TH AVE S, MINNEAPOLIS, MN 55417-1328
(952) 454-6461
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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