Individual
TYREL COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 E MAIN ST, ANOKA, MN 55303-2527
(763) 421-3722
Mailing address
14160 GOODHUE ST NE, HAM LAKE, MN 55304-6829
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
MN
Other
Enumeration date
04/06/2018
Last updated
04/06/2018
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