Individual
BRIANNA JO HALVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6600 FRANCE AVE S STE 204, EDINA, MN 55435-1800
(612) 859-7709
Mailing address
6120 LAKE ELMO AVE N, STILLWATER, MN 55082-9373
(651) 262-9442
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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