Individual
ALLYSSA ANN HERNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
130 BUTLER AVE E, WEST ST PAUL, MN 55118-1501
(651) 457-8646
Mailing address
130 BUTLER AVE E, WEST ST PAUL, MN 55118-1501
(651) 457-8646
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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