Individual
MARY THERESA TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6070 50TH ST N, OAKDALE, MN 55128-1307
(651) 777-3611
(651) 773-5251
Mailing address
6070 50TH ST N, OAKDALE, MN 55128-1307
(651) 777-3611
(651) 773-5251
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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