Individual
GEORGIE L KINLAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8360 CITY CENTRE DR STE 110, WOODBURY, MN 55125-3381
(612) 450-5906
Mailing address
8360 CITY CENTRE DR STE 110, WOODBURY, MN 55125-3381
(612) 450-5906
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
34-01-MTL
MN
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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