Organization
SOULSPIRE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN POWERS OLSON (ORGANIZER)
(763) 234-4876
Entity
Organization
Contact information
Practice address
17508 MINNETONKA BLVD, MINNETONKA, MN 55345-1007
(763) 234-4876
Mailing address
17508 MINNETONKA BLVD, MINNETONKA, MN 55345-1007
(763) 234-4876
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/04/2025
Last updated
04/04/2025
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