Individual
RUTH THERESE BACKLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
732 E 4TH ST STE C, DULUTH, MN 55805-2483
(218) 464-2349
(218) 606-1002
Mailing address
5727 AVONDALE ST, DULUTH, MN 55804-1317
(218) 464-2349
Taxonomy
Speciality
Code
Description
License number
State
163WM1400X
Nurse Massage Therapist (NMT)
Primary
R 113607-0
MN
Other
Enumeration date
12/18/2009
Last updated
06/26/2019
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