Individual
MR. JASON NORDBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
119 LAKE ST S, MORA, MN 55051-1576
(651) 464-4701
Mailing address
119 LAKE ST S, MORA, MN 55051-1576
(651) 464-4701
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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