Individual
SUSAN WOODBRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31476 US HIGHWAY 2 SW, FISHER, MN 56723-9432
(218) 281-4685
Mailing address
31476 US HIGHWAY 2 SW, FISHER, MN 56723-9432
(218) 281-4685
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
288865
MN
Other
Enumeration date
06/16/2010
Last updated
06/16/2010
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