Individual
NARATE KEYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1600 UNIVERSITY AVE. WEST - SUITE 10, ST PAUL, MN 55104-5510
(651) 592-9402
Mailing address
1600 UNIVERSITY AVE. WEST - SUITE 10, ST PAUL, MN 55104
(651) 592-9402
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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