Organization
BODYMIND ALCHEMY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROBERTA A BENSON LMT, NTP (OWNER)
(612) 203-2872
Entity
Organization
Contact information
Practice address
2233 HAMLINE AVE N STE 433, ROSEVILLE, MN 55113-5006
(651) 600-6181
Mailing address
2640 ULYSSES ST NE, MINNEAPOLIS, MN 55418-3048
(612) 203-2872
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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