Individual
TASHA BRULEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3165 DEMERS AVE, GRAND FORKS, ND 58201-4049
(701) 780-3458
Mailing address
3165 DEMERS AVE, GRAND FORKS, ND 58201-4049
(701) 780-3458
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
ND
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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