Individual
TRESSA DEE WEEDEN-BOOTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT, LMT
Contact information
Practice address
112 W 2ND ST, CHASKA, MN 55318-2635
(952) 220-5938
Mailing address
112 W 2ND ST, CHASKA, MN 55318-2635
(952) 220-5938
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
00000000
MN
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
00000000
MN
225700000X
Massage Therapist
Primary
—
MN
Other
Enumeration date
08/22/2020
Last updated
03/08/2024
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