Individual
MISS PAIGE JOY HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, LR
Contact information
Practice address
805 14TH ST. SO., MSUM WELLNESS CENTER, MOORHEAD, MN 56560
(320) 305-2257
Mailing address
1750 42ND ST S APT 208, FARGO, ND 58103-7107
(320) 305-2257
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MST12-28
MN
Other
Enumeration date
06/25/2012
Last updated
06/25/2012
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