Individual
ERICKA CHWIALKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
101 MARTY DR STE 1, BUFFALO, MN 55313-9343
(763) 682-4000
Mailing address
101 MARTY DR STE 1, BUFFALO, MN 55313-9343
(763) 682-4000
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
296939400
—
MN
Enumeration date
05/24/2021
Last updated
05/24/2021
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