Individual
MRS. JENNIFER MARIE WALLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
205 DIVISION ST S, NORTHFIELD, MN 55057-2014
(507) 645-8242
(507) 645-8242
Mailing address
13916 FALK AVE, NORTHFIELD, MN 55057-4628
(507) 645-8242
(507) 645-8242
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
557945-08
MN
Other
Enumeration date
10/09/2008
Last updated
12/12/2009
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