Individual
JASIE BARBOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
13036 EUROPA TRL N, HUGO, MN 55038-4410
(651) 808-8938
Mailing address
13036 EUROPA TRL N, HUGO, MN 55038-4410
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA78113
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
09/18/2020
Last updated
09/18/2020
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