Individual
KAYLEE DIRCKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12545 320 1/2 AVE NW, PRINCETON, MN 55371-4744
(612) 804-7212
Mailing address
12208 313TH AVE, PRINCETON, MN 55371-3320
(612) 804-7212
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
MN
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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