Individual
LAURA FAY FELTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
3348 SHERMAN CT, SUITE #103, EAGAN, MN 55121-5006
(651) 325-8778
Mailing address
3348 SHERMAN CT, SUITE #103, EAGAN, MN 55121-5006
(651) 325-8778
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MT-93-2010-2011
MN
173C00000X
Reflexologist
MT-93-2010-2011
MN
Other
Enumeration date
02/18/2011
Last updated
02/18/2011
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