Organization
BENEFICIAL ALCOVE MASSAGE AND WELLNESS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIKTORIA A HODYNSKY MD (OWNER)
(651) 429-0706
Entity
Organization
Contact information
Practice address
1310 HIGHWAY 96 E, #214, WHITE BEAR LAKE, MN 55110-3624
(651) 429-0706
(612) 788-4065
Mailing address
1310 HIGHWAY 96 E, #214, WHITE BEAR LAKE, MN 55110-3624
(651) 429-0706
(612) 788-4065
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103827
HEALTHPARTHNERS ID NUMBER
MN
Enumeration date
05/12/2007
Last updated
08/22/2020
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