Individual
MRS. JEANETTE RAE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
1629 W MAIN ST, SKYLINE PLAZA, ALBERT LEA, MN 56007-1868
(507) 369-0019
(507) 373-9003
Mailing address
1629 W MAIN ST, SKYLINE PLAZA, ALBERT LEA, MN 56007-1868
(507) 369-0019
(507) 373-9003
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
03/01/2012
Last updated
03/01/2012
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